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AUDREY HENDERSON
NPI 1205684677
Counselor - Professional in La Mesa, CA

Active since May 09, 2024
9855 EDGELAKE DR, LA MESA, CA 91941(801) 376-8643 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Audrey Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY HENDERSON (NPI 1205684677) is an individual professional provider in La Mesa, California and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1205684677
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUDREY HENDERSON
Location Address9855 EDGELAKE DRLa Mesa, CA 91941-4427
Mailing Address9855 Edgelake DrLa Mesa, CA 91941-4427 · (801) 376-8643
Phone(801) 376-8643
Sole ProprietorYes
Enumeration DateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1205684677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
9855 EDGELAKE DR, La Mesa, CA 91941
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Henderson's NPI number?

The NPI number for Audrey Henderson is 1205684677. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Audrey Henderson located?

Audrey Henderson practices at 9855 Edgelake Dr, La Mesa, CA 91941. The listed phone number is (801) 376-8643.

What is Audrey Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Audrey Henderson was last updated on May 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.