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Shirley Henderson, MED,LPCP,
Specialist in Meridian, Idaho
NPI 1790768455

Shirley Henderson is a Specialist based in Meridian, ID. Shirley Henderson practices in Meridian, ID and has the professional credentials of MED,LPCP,. The NPI Number for Shirley Henderson is 1790768455 and holds a License No. LCPC 154 (Idaho).

The current practice location address for Shirley Henderson is 1250 W Cherry Ln, Meridian, ID and can be reached out via phone at 208-887-1911 and via fax at 208-895-8049.

Location: 1250 W Cherry Ln, Meridian, ID, 83642-2800
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Provider Profile Details
NPI Number
1790768455
Provider Name
Shirley Henderson
Credential
MED,LPCP,
Provider Entity Type
Individual
Gender
Female
Address
1250 W Cherry Ln, Meridian, ID, 83642-2800
Phone Number
208-887-1911
Fax Number
208-895-8049
Provider Enumeration Date
11/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
154 01 ID LCPC
3008 01 ID LICENSED MARRIAGE AND FAM
institution
Provider Business Practice Location Address Details
Address
1250 W Cherry Ln
City
State
Zip
83642-1514
Phone Number
208-887-1911
Fax Number
208-895-8049
person
Provider Business Mailing Address Details
Address
1250 W Cherry Ln
City
State
Zip
83642-1514
Phone Number
208-887-1911
Fax Number
208-895-8049
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
LCPC 154 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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