Individual provider · Type 1 NPI

Nicole Hendrickson, CADC

Addiction (Substance Use Disorder) Counselor · Prineville, OR

NPI number 1104423565 Active

Practice location

1059 NW Madras Hwy
Prineville, OR 97754-1416

Call (541) 323-5330 Map

Mailing address

PO Box 1710
Redmond, OR 97756-0516

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 1104423565

Nicole Hendrickson, CADC's National Provider Identifier is 1104423565, issued on Oct 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prineville, OR. The record was last updated on Oct 7, 2020.