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Lawanda L Henderson
Counselor in Broken Arrow, Oklahoma
NPI 1306188685

Lawanda L Henderson is a Counselor based in Broken Arrow, OK. Lawanda L Henderson practices in Broken Arrow, OK. The NPI Number for Lawanda L Henderson is 1306188685 and holds a License No. (Oklahoma).

The current practice location address for Lawanda L Henderson is 19925 E 44Th St S, Broken Arrow, OK and can be reached out via phone at 918-951-3455 and via fax at 918-355-5734.

Location: 19925 E 44Th St S, Broken Arrow, OK, 74014-8224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306188685
Provider Name
Lawanda L Henderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
19925 E 44Th St S, Broken Arrow, OK, 74014-8224
Phone Number
918-951-3455
Fax Number
918-355-5734
Provider Enumeration Date
03/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20028712GA 05 OK
institution
Provider Business Practice Location Address Details
Address
19925 E 44Th St S
City
Broken Arrow
State
Oklahoma
Zip
74014-8224
Phone Number
918-951-3455
Fax Number
918-355-5734
person
Provider Business Mailing Address Details
Address
19925 E 44Th St S
City
Broken Arrow
State
Oklahoma
Zip
74014-8224
Phone Number
918-951-3455
Fax Number
918-355-5734
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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