Individual provider · Type 1 NPI

Shannon Henderson

Professional Counselor · Rockford, IL

NPI number 1871079137 Active

Practice location

5906 Elaine Dr Ste 103
Rockford, IL 61108-2467

Call (779) 210-3453 Map

Other practice locations

  • 8616 Northern Ave, Rockford, IL 61107-5309 · (815) 332-8003

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1871079137

Shannon Henderson's National Provider Identifier is 1871079137, issued on Jul 19, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Jan 10, 2025.