Laura Henderson

NPI 1740611714 - Counselor - 101Y00000X

NPI Details
NPI 1740611714
Gender Female
Enumeration Date 12/02/2013
Last Updated 12/02/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2180 JOHNSON AVE
SAN LUIS OBISPO CA, 93401-4513, US
Phone (805) 788-2062
Fax
Business Location
2180 JOHNSON AVE
SAN LUIS OBISPO CA, 93401-4513, US
Phone (805) 788-2062
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State California
License Number RI-H1306141043
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According to our database, Laura Henderson NPI is 1740611714, taxonomy code is 101Y00000X and license number is RI-H1306141043, license state is located at California. Laura Henderson physically located at 2180 Johnson Ave, San Luis Obispo CA, 93401-4513. NPI Number Laura Henderson has the Individual type.

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1740611714 NPI number is provided on an as is basis without warranty of any kind. 1740611714 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Henderson are for informational purposes only.