Henderson, Carolyn R.

Henderson, Carolyn R. is an sole proprietor health care provider with primary practice located at 641 Higuera St Suite 202, San Luis Obispo CA 93401-3549. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Henderson, Carolyn R. can be contacted via phone (805) 596-0234.

Contact Information

Primary practice address
641 Higuera St Suite 202 San Luis Obispo CA 93401-3549
Phone: (805) 596-0234
Fax: (805) 929-2717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC37330 California

Profile Details

NPI number 1821076985
LBN Legal business name Henderson, Carolyn R.
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2006
Last updated Dec 30th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821076985 NPPES
California Other MFC37330 LICENSE

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