Individual provider · Type 1 NPI
Juderius Henderson, LCAS, LCSW-A
Addiction (Substance Use Disorder) Counselor · Fayetteville, NC
NPI number
1831745405
Active
Practice location
305 Dogtrot Ct
Fayetteville, NC 28311-8932
Mailing address
5500 S Miami Blvd Apt 205
Durham, NC 27703-8288
Other practice locations
- 1758 E 11th St Ste E, Siler City, NC 27344-2845 · (919) 663-3303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-25696 (NC) |
| Clinical Social Worker | 1041C0700X | P013818 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1831745405
Juderius Henderson, LCAS, LCSW-A's National Provider Identifier is 1831745405, issued on Aug 10, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 20, 2023.