Jodie Marie Henderson, LPC-MHSP TEMP
NPI #1174206320 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1174206320
- Entity Type
- Individual
- Name
- Jodie Marie Henderson, LPC-MHSP TEMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC-MHSP TEMP
- Enumeration Date
- Aug 14, 2023
- Last Updated
- Aug 14, 2023
Practice Location
- Address
- 508 E UNAKA AVE
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-4033
- Phone
- (423) 810-0961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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