Individual provider · Type 1 NPI

Ketlyn R. Henry, MA

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1487908703 Active

Practice location

830 S Olive St
Los Angeles, CA 90014-3006

Call (213) 213-0581 Map

Fax (213) 213-0580

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 1487908703

Ketlyn R. Henry, MA's National Provider Identifier is 1487908703, issued on Nov 8, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 8, 2012.