Henderson, Nichole Marie

Henderson, Nichole Marie is an individual health care provider with primary practice located at 819 Water St Suite 300, Kerrville TX 78028-5333. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Henderson, Nichole Marie can be contacted via phone (830) 792-3300.

Contact Information

Primary practice address
819 Water St Suite 300 Kerrville TX 78028-5333
Fax: (830) 792-5771
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 60731 Texas

Profile Details

NPI number 1538595053
LBN Legal business name Henderson, Nichole Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Sep 16th, 2013 - about 13 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 1538595053 NPPES
Texas Other 60731 LPC LICENSE

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