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Madison Henson
Mental Health Counselor in Tishomingo, Oklahoma
NPI 1871208454

Madison Henson is a Mental Health Counselor based in Ada, OK and is specialized in Mental Health. Madison Henson practices in Tishomingo, OK. The NPI Number for Madison Henson is 1871208454 and holds a License No. 11244 (Oklahoma).

The current practice location address for Madison Henson is 817 E 6Th St, Tishomingo, OK and can be reached out via phone at 580-387-2719.

Location: 817 E 6Th St, Tishomingo, OK, 74820-2319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871208454
Provider Name
Madison Henson
Credential
Provider Entity Type
Individual
Gender
Female
Address
817 E 6Th St, Tishomingo, OK, 74820-2319
Phone Number
580-387-2719
Fax Number
Provider Enumeration Date
01/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
817 E 6Th St
City
Tishomingo
State
Oklahoma
Zip
73460-1800
Phone Number
580-387-2719
Fax Number
person
Provider Business Mailing Address Details
Address
817 E 6Th St
City
Tishomingo
State
Oklahoma
Zip
73460-1800
Phone Number
580-387-2719
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11244 (Oklahoma)
Definition
Definition to come...
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