Henderson, Victoria Juanita

Henderson, Victoria Juanita is an individual health care provider with primary practice located at 12939 S Mason Ave , Palos Heights IL 60463-2346. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Henderson, Victoria Juanita can be contacted via phone (773) 628-3250.

Contact Information

Primary practice address
12939 S Mason Ave Palos Heights IL 60463-2346
Phone: (773) 628-3250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1790420719
LBN Legal business name Henderson, Victoria Juanita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2022
Last updated Jun 14th, 2022 - about 3 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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