Provider Demographics
NPI:1356669667
Name:HENRY, CHRISHONA (LPC,RN)
Entity Type:Individual
Prefix:
First Name:CHRISHONA
Middle Name:
Last Name:HENRY
Suffix:
Gender:F
Credentials:LPC,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-2009
Mailing Address - Country:US
Mailing Address - Phone:860-794-7103
Mailing Address - Fax:804-276-4505
Practice Address - Street 1:1 W WILLIAMSBURG RD
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-2009
Practice Address - Country:US
Practice Address - Phone:860-794-7103
Practice Address - Fax:804-276-4505
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2020-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health