Individual provider · Type 1 NPI

Gene Henderson, CAC3, NCAC2

Addiction (Substance Use Disorder) Counselor · Colorado Springs, CO

NPI number 1194045468 Active

Practice location

6270 Lehman Dr, Suite 101
Colorado Springs, CO 80918-1469

Call (719) 380-1644 Map

Mailing address

15595 Copperfield Dr
Colorado Springs, CO 80921-3526

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2345 (CO)
Mental Health Counselor 101YM0800XNone listed

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

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About NPI 1194045468

Gene Henderson, CAC3, NCAC2's National Provider Identifier is 1194045468, issued on Jun 9, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 10, 2010.