Individual provider · Type 1 NPI
Gayle Hendricks, MS, LMHC, LCPC, CADC
Addiction (Substance Use Disorder) Counselor · Cedar Rapids, IA
NPI number
1487150660
Active
Practice location
3601 16th Ave SW
Cedar Rapids, IA 52404-2328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 00675 (IA) |
| Mental Health Counselor | 101YM0800X | 180-001471 (IL) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 01064 (IA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487150660
Gayle Hendricks, MS, LMHC, LCPC, CADC's National Provider Identifier is 1487150660, issued on Apr 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cedar Rapids, IA. The record was last updated on Apr 5, 2018.