DESTANIE B HENDERSON

CARMICHAEL, CA
NPI1487528311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RT1419960925)
Enumeration Date2025-10-02
Last Update Date2025-10-02
Business Address
DESTANIE B HENDERSON RADT
6127 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4818
Phone number: 916-974-8090
Mailing Address
DESTANIE B HENDERSON RADT
6127 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4818
Phone number: 916-974-8090
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