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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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.