person
Mr. Micah Shane Hendrickson, MA
Mental Health Counselor in Avon Park, Florida
NPI 1063887164

Micah Shane Hendrickson is a Mental Health Counselor based in Avon Park, FL and is specialized in Mental Health. Micah Shane Hendrickson practices in Avon Park, FL and has the professional credentials of MA. The NPI Number for Micah Shane Hendrickson is 1063887164 and holds a License No. MH13683 (Florida).

The current practice location address for Micah Shane Hendrickson is 2523 Us Highway 27 S, Avon Park, FL and can be reached out via phone at 863-452-0710 and via fax at 863-452-0142.

Location: 2523 Us Highway 27 S, Avon Park, FL, 33825-7744
person
Provider Profile Details
NPI Number
1063887164
Provider Name
Micah Shane Hendrickson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
2523 Us Highway 27 S, Avon Park, FL, 33825-7744
Phone Number
863-452-0710
Fax Number
863-452-0142
Provider Enumeration Date
12/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2523 Us Highway 27 S
City
State
Zip
33825-7744
Phone Number
863-452-0710
Fax Number
863-452-0142
person
Provider Business Mailing Address Details
Address
2523 Us Highway 27 S
City
State
Zip
33825-7744
Phone Number
863-452-0710
Fax Number
863-452-0142
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH13683 (Florida)
Definition
Definition to come...
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