Provider Demographics
NPI:1003312208
Name:HENDERSON, SHEENA RENEE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SHEENA
Middle Name:RENEE
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SHEENA
Other - Middle Name:RENEE
Other - Last Name:MCDADE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5700 PARK DR UNIT 1206
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-4960
Mailing Address - Country:US
Mailing Address - Phone:310-844-4220
Mailing Address - Fax:
Practice Address - Street 1:5871 PINE AVE STE 230
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6545
Practice Address - Country:US
Practice Address - Phone:909-597-2226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92235101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health