Provider Demographics
NPI:1952849341
Name:HENDERSON, AARON JAMES (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JAMES
Last Name:HENDERSON
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 N UNION BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4081
Mailing Address - Country:US
Mailing Address - Phone:719-380-1644
Mailing Address - Fax:719-380-1694
Practice Address - Street 1:7750 N UNION BLVD STE 102
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-4081
Practice Address - Country:US
Practice Address - Phone:719-380-1644
Practice Address - Fax:719-380-1694
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013491101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional