Individual provider · Type 1 NPI

Jack Rudy Henley, CST-LL

Peer Specialist · Turlock, CA

NPI number 1265909204 Active

About NPI 1265909204

Jack Rudy Henley, CST-LL's National Provider Identifier is 1265909204, issued on Oct 29, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Turlock, CA. The record was last updated on Sep 16, 2025.