Individual provider · Type 1 NPI

Ethan Daniel Henry

Professional Counselor · Lynchburg, VA

NPI number 1902605926 Active

Practice location

115 Wade Ln
Lynchburg, VA 24502-2935

Call (951) 414-7785 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0021940 (CO)

Professional Counselor: Definition to come...

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About NPI 1902605926

Ethan Daniel Henry's National Provider Identifier is 1902605926, issued on Mar 11, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lynchburg, VA. The record was last updated on Mar 11, 2025.