Individual provider · Type 1 NPI

Michael Henderson

Peer Specialist · Los Angeles, CA

NPI number 1861305294 Active

Practice location

240 N Breed St
Los Angeles, CA 90033-2903

Call (310) 466-0433 Map

Mailing address

669 S Burlington Ave
Los Angeles, CA 90057-3743

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1861305294

Michael Henderson's National Provider Identifier is 1861305294, issued on Sep 25, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 25, 2026.