Individual provider · Type 1 NPI
Georgeann Thelma Hendricks, LMSW, LISAC
Addiction (Substance Use Disorder) Counselor · San Carlos, AZ
NPI number
1659641603
Active
Practice location
5 San Carlos Ave.
San Carlos, AZ 85550-9900
Fax (928) 475-4880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-10819 (AZ) |
| Social Worker | 104100000X | LMSW-11182 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in San Carlos
About NPI 1659641603
Georgeann Thelma Hendricks, LMSW, LISAC's National Provider Identifier is 1659641603, issued on Jan 9, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Carlos, AZ. The record was last updated on Jan 9, 2012.