Individual provider · Type 1 NPI
Reginald Quentine Henderson Sr., CSAC-I
Addiction (Substance Use Disorder) Counselor · Durham, NC
NPI number
1811149099
Active
Practice location
3622 Lyckan Pkwy Ste 6008
Durham, NC 27707-2570
Fax (919) 381-6818
Mailing address
1613 Bivins St
Durham, NC 27707-1523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1811149099
Reginald Quentine Henderson Sr., CSAC-I's National Provider Identifier is 1811149099, issued on Oct 19, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Durham, NC. The record was last updated on Apr 22, 2009.