Provider Demographics
NPI:1508001355
Name:HENDERSON, KAREN WEIR (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:WEIR
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2919 WEST 17TH ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-1658
Mailing Address - Country:US
Mailing Address - Phone:303-772-7400
Mailing Address - Fax:
Practice Address - Street 1:2919 17TH STREET
Practice Address - Street 2:SUITE 214
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-1658
Practice Address - Country:US
Practice Address - Phone:303-772-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional