Individual provider · Type 1 NPI

Oliver Maurice Henderson

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1003092099 Active

Practice location

820 23rd St
Richmond, CA 94804-1338

Call (510) 229-5000 Map

Fax (510) 235-3112

Mailing address

300 Shavano Way
San Ramon, CA 94583-4187

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003092099

Oliver Maurice Henderson's National Provider Identifier is 1003092099, issued on Jan 21, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on Feb 5, 2008.