Kaylene Scholl Henderson, MA

NPI #1104342096 in Ellijay, Georgia

Provider Information

NPI Number: 1104342096
Entity Type: Individual
Name: Kaylene Scholl Henderson, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MA
Enumeration Date: Aug 22, 2017
Last Updated: Aug 22, 2017

Practice Location

Address: 52 SUNFLOWER CT
City: Ellijay
State: Georgia
ZIP Code: 30540-3054
Phone: (706) 455-9028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Foster Care Agency	253J00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Counselor	101Y00000X	Primary

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