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1548638117
DAVID HENAGER
SACRAMENTO, CA
NPI
1548638117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1201490515)
Enumeration Date
2015-09-12
Last Update Date
2017-01-10
Business Address
-- DAVID HENAGER
4441 AUBURN BLVD E
SACRAMENTO, CA 95841-4139
Phone number: 916-921-6598
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Mailing Address
-- DAVID HENAGER
9950 BRUCEVILLE RD APT. # 235
ELK GROVE, CA 95757-9508
Phone number: 916-616-8999
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