person
Marion Robert Henderson
Mental Health Counselor in Edgefield, South Carolina
NPI 1942392295

Marion Robert Henderson is a Mental Health Counselor based in Greenwood, SC and is specialized in Mental Health. Marion Robert Henderson practices in Edgefield, SC. The NPI Number for Marion Robert Henderson is 1942392295 and holds a License No. (South Carolina).

The current practice location address for Marion Robert Henderson is 409 Simpkins St, Edgefield, SC and can be reached out via phone at 803-637-5338 and via fax at 803-637-0753.

Location: 409 Simpkins St, Edgefield, SC, 29646-4081
person
Provider Profile Details
NPI Number
1942392295
Provider Name
Marion Robert Henderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
409 Simpkins St, Edgefield, SC, 29646-4081
Phone Number
803-637-5338
Fax Number
803-637-0753
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421504 05 SC
institution
Provider Business Practice Location Address Details
Address
409 Simpkins St
City
State
Zip
29824-1313
Phone Number
803-637-5338
Fax Number
803-637-0753
person
Provider Business Mailing Address Details
Address
409 Simpkins St
City
State
Zip
29824-1313
Phone Number
803-637-5338
Fax Number
803-637-0753
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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