MS. Georgeann Thelma Hendricks, LMSW, LISAC

NPI #1659641603 in San Carlos, Arizona

Provider Information

NPI Number: 1659641603
Entity Type: Individual
Name: MS. Georgeann Thelma Hendricks, LMSW, LISAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LMSW, LISAC
Enumeration Date: Jan 9, 2012
Last Updated: Jan 9, 2012

Practice Location

Address: 5 SAN CARLOS AVE.
City: San Carlos
State: Arizona
ZIP Code: 85550-9900
Phone: (928) 475-4875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Social Worker	104100000X

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