MR. Earl Daniel Henson JR., CAODC

NPI #1528550530 in Loyalton, California

Provider Information

NPI Number: 1528550530
Entity Type: Individual
Name: MR. Earl Daniel Henson JR., CAODC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CAODC
Enumeration Date: Jun 5, 2018
Last Updated: Jun 5, 2018

Practice Location

Address: 704 MILL STREET
City: Loyalton
State: California
ZIP Code: 96118
Phone: (530) 993-6746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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