Johnastasia Lillian Henderson, MS
NPI #1003452640 in Hyde Park, Massachusetts
Provider Information
- NPI Number
- 1003452640
- Entity Type
- Individual
- Name
- Johnastasia Lillian Henderson, MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MS
- Enumeration Date
- Nov 19, 2019
- Last Updated
- Apr 14, 2025
Practice Location
- Address
- 1234 HYDE PARK AVE
- City
- Hyde Park
- State
- Massachusetts
- ZIP Code
- 02136-2819
- Phone
- (888) 763-7272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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