ETHAN DANIEL HENRY

LYNCHBURG, VA
NPI1902605926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: CO  0021940)
Enumeration Date2025-03-11
Last Update Date2025-03-11
Business Address
ETHAN DANIEL HENRY
115 WADE LN
LYNCHBURG, VA 24502-2935
Phone number: 951-414-7785
Mailing Address
ETHAN DANIEL HENRY
115 WADE LN
LYNCHBURG, VA 24502-2935
Phone number: 951-414-7785
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