Individual provider · Type 1 NPI

Jonetta Henderson

Peer Specialist · Woodland, CA

NPI number 1063389518 Active

Practice location

137 N Cottonwood St
Woodland, CA 95695-6646

Call (530) 312-5127 Map

Fax (530) 312-5127

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-BLMFTD (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1063389518

Jonetta Henderson's National Provider Identifier is 1063389518, issued on Oct 20, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Woodland, CA. The record was last updated on Nov 6, 2025.