Female

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)

Code

106H00000X
101YP2500X

Primary Taxonomy

No
No

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

Provider Address