Most Relevant Information
Provider Data
| NPI Number: | 1003697293 |
| Provider Name: | TAMIKO HENDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/12/2023 |
| Last Updated: | 10/12/2023 |
Provider Practice Location
3606 N RANCHO DR STE 142
LAS VEGAS
NV
891303130
Practice Location Phone/Fax
| Phone: | 7027785300 |
| Fax: |
Provider Mailing Location
3606 N RANCHO DR STE 142
LAS VEGAS
NV
891303130
Provider Mailing Phone/Fax
| Phone: | 7027785300 |
| Fax: | 7027785301 |