KRISTINE JOANN HENDERSON M.A. NPI 1265578181

NPI Information

NPI: 1265578181
Provider Name: KRISTINE JOANN HENDERSON, M.A.
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3351 EAGLE RUN DR NE STE C
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 365-8920
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Kristine Joann Henderson, M.A. is a counselor in Grand Rapids, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kristine Joann Henderson, M.A. NPI is 1265578181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3351 EAGLE RUN DR NE STE C
GRAND RAPIDS, MI
ZIP 49525-053
Phone: (616) 365-8920

The enumeration date for this NPI number is 1/29/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		6401009912	MICHIGAN	Yes
2	101YM0800X	Counselor	Mental Health	6401009912	MICHIGAN	X
3	101YP2500X	Counselor	Professional	6401009912	MICHIGAN	X
4	101YS0200X	Counselor	School	6401009912	MICHIGAN	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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