JOHN HENDERSON

FAIRBORN, OH
NPI1386108066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA.167280)
Enumeration Date2019-01-26
Last Update Date2020-12-14
Business Address
JOHN HENDERSON CDCA
323 N BROAD ST
FAIRBORN, OH 45324-4934
Phone number: 937-318-8103
Mailing Address
JOHN HENDERSON CDCA
2125 S TECUMSEH RD LOT 118
SPRINGFIELD, OH 45502-8587
Phone number: 937-340-1141
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