Jennifer Beth Henderson in Broadview - Professional
Jennifer Beth Henderson - NPI 1861594095
Jennifer Beth Henderson is a Professional in Broadview, Illinois. Jennifer Beth Henderson practices all healthcare services and medical treatments related to Professional. The NPI Number for Jennifer Beth Henderson is 1861594095. The last update date is 2007-07-08.
Jennifer Beth Henderson's current location address is 2235 S 10th Ave, Broadview, Illinois. You can contact this provider via phone number 7734052696 and fax number 7083448605. The mailing address for Jennifer Beth Henderson is 2235 S 10th Ave, Broadview, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Beth Henderson |
|---|---|
| Address | 2235 S 10th Ave, Broadview, Illinois |
| Phone Number | 7734052696 |
| Fax Number | 7083448605 |
| Sole Proprietor | N |
| Credentials | MA ATR LCP |
NPI Number Detail
| NPI Number | 1861594095 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2235 S 10th Ave |
|---|---|
| City | Broadview |
| State | Illinois (IL) |
| Post Code | 601554027 |
| Phone Number | 7734052696 |
| Fax Number | 7083448605 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identifier code issued to Jennifer Beth Henderson by the Centers for Medicare & Medicaid Services?
The Jennifer Beth Henderson has been assigned the NPI (National Provider Identifier) 1861594095. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jennifer Beth Henderson is physically located?
The Jennifer Beth Henderson is physically situated at the following address: 2235 S 10Th Ave, Broadview, IL, 601554027.
What is the Jennifer Beth Henderson's specialty and taxonomy code?
The Jennifer Beth Henderson's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Jennifer Beth Henderson receive the assignment of its 1861594095 from the Centers for Medicare & Medicaid Services?
The Jennifer Beth Henderson was issued its 1861594095 by the Centers for Medicare & Medicaid Services on 2006-09-01.
When was the information regarding Jennifer Beth Henderson most recently updated?
The details pertaining to the Jennifer Beth Henderson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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