Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON HENDERSON
Active Sole ProprietorSHANNON HENDERSON is a Professional Counselor healthcare provider located in ROCKFORD, Illinois. NPI 1871079137 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ROCKFORD, IL
Registration Details
- NPI Number
- 1871079137
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2018 (8.0616882497544 yrs)
- Last Updated
- Jan 10, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
5906 ELAINE DR STE 103ROCKFORD, IL, 611082467Browse IL providers · Browse ZIP 61108
- Phone
- 7792103453
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MS. CONSTANCE MILLER GARRY | LCPC | 1639153588 |
| MRS. JANNA K BECHERER | LCPC | 1861479537 |
| MR. TERRY L MINNICK | LCPC | 1477530723 |
| DR. JAMES D PARRISH | LCPC | 1083691018 |
| MR. TIMOTHY FREDRICKSON | LCPC | 1922073642 |
| MR. NORMAN C DASENBROOK | M.S., L.C.P.C. | 1760450407 |
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.