Dr. Joan M. Henderson EDD
Full Name
Dr. Joan Marie Henderson EDD
NPI Number
1073738159
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/16/2007
Specialties
(Taxonomies)Licenses
State
Idaho
Idaho
License Number
LMFT 23
LCPC 66
Contact
Information
Purpose
Mailing
Location
Address
220 W STATE ST
220 W STATE ST
City
Boise
Boise
State
ID
ID
Postal Code
83702
83702
Country
US
US
Telephone Number
(208) 345-3099
(208) 345-3099
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007