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NPI Code Detail

MEDICARE: MICHELLE LEANNE HENDRIX LPCC

MEDICARE: MICHELLE LEANNE HENDRIX LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPCC13276CA

General Provider Information

NPI Number : 1316572423
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LEANNE HENDRIX LPCC
Provider Business Mailing Address
First Line : 1305 TOMMYDON ST
Second Line :
City : STOCKTON
State : CA
Zip : 95210-3364
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1305 TOMMYDON ST
Second Line :
City : STOCKTON
State : CA
Zip : 95210-3364
Country : US
Telephone Number : 209-476-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2020
Last Update Date : 04/26/2026

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Directions to “ MICHELLE LEANNE HENDRIX LPCC” Practice Location

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