Individual provider · Type 1 NPI
Carol Henderson, LICDC
Addiction (Substance Use Disorder) Counselor · Cortland, OH
NPI number
1780036079
Active
Practice location
3194 Deer Trl Unit B
Cortland, OH 44410-9113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | S0013966 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LICDC933722 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Cortland
About NPI 1780036079
Carol Henderson, LICDC's National Provider Identifier is 1780036079, issued on Jul 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cortland, OH. The record was last updated on Jan 28, 2022.