Johnny Earl Henderson

NPI #1154207843 in San Rafael, California

Provider Information

NPI Number
1154207843
Entity Type
Individual
Name
Johnny Earl Henderson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Aug 15, 2025
Last Updated
Aug 15, 2025

Practice Location

Address
134 PICNIC AVE
ZIP Code
94901-5003
Phone
(415) 410-9388

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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