Individual provider · Type 1 NPI

Kati R. Henderson

Addiction (Substance Use Disorder) Counselor · Yucca Valley, CA

NPI number 1154550689 Active

Practice location

55475 Santa Fe Trl
Yucca Valley, CA 92284-3117

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 1154550689

Kati R. Henderson's National Provider Identifier is 1154550689, issued on Jul 6, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yucca Valley, CA. The record was last updated on Jul 6, 2009.