Individual provider · Type 1 NPI
Matthew Jamal Henderson
Counselor · Port Orange, FL
NPI number
1831543065
Active
Practice location
6375 S Williamson Blvd, Apt #733
Port Orange, FL 32128-4010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1831543065
Matthew Jamal Henderson's National Provider Identifier is 1831543065, issued on Apr 13, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Port Orange, FL. The record was last updated on Apr 13, 2016.