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1518417724
KRISTA JANE HENDERSON
COOS BAY, OR
NPI
1518417724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-12
Last Update Date
2021-03-30
Business Address
KRISTA JANE HENDERSON
1885 THOMPSON RD
COOS BAY, OR 97420-2152
Phone number: 541-266-8480
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Mailing Address
KRISTA JANE HENDERSON
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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