Individual provider · Type 1 NPI

Destanie B. Henderson, RADT

Addiction (Substance Use Disorder) Counselor · Carmichael, CA

NPI number 1487528311 Active

Practice location

6127 Fair Oaks Blvd
Carmichael, CA 95608-4818

Fax (916) 974-7851

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRT1419960925 (CA)

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

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About NPI 1487528311

Destanie B. Henderson, RADT's National Provider Identifier is 1487528311, issued on Oct 2, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Carmichael, CA. The record was last updated on Oct 2, 2025.