Individual provider · Type 1 NPI

Jessica Henderson

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1508592379 Active

Practice location

126 Ohio St
Vallejo, CA 94590-5049

Call (707) 644-2577 Map

Fax (707) 644-2577

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1460630322 (CA)

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

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About NPI 1508592379

Jessica Henderson's National Provider Identifier is 1508592379, issued on Jul 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Jul 25, 2022.