Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICAH SHANE HENDRICKSON, MA
ActiveMR. MICAH SHANE HENDRICKSON, MA is a Mental Health Counselor healthcare provider located in AVON PARK, Florida. NPI 1063887164 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · AVON PARK, FL
Registration Details
- NPI Number
- 1063887164
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2015 (10.5568139565 yrs)
- Last Updated
- Dec 1, 2015
- License
-
MH13683 (FL)
Practice Information
- Address
-
2523 US HIGHWAY 27 SSTE 130AVON PARK, FL, 338257744Browse FL providers · Browse ZIP 33825
- Phone
- 8634520710
- Fax
- 8634520142
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in AVON PARK, FL
| Name | Credential | NPI |
|---|---|---|
| MS. NAWAL SAJIH ABOUL-HOSN | PHD, LMHC, LMFT, CAP | 1093737991 |
| MR. RENE DEL SOL | M.A., LMHC, BCPC | 1659383560 |
| MR. PHILLIP EDWARD VAN KLEECK | MA | 1093990061 |
| SAMUEL CLYDE GRAY | MA, LMHC | 1467792317 |
| RYAN PATRICK ESSER | LMHC | 1295160034 |
| RASHEEDA N MOORER | LPC | 1992150643 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.