Lastachia Henderson
NPI #1750145546 in Farmerville, Louisiana
Provider Information
- NPI Number
- 1750145546
- Entity Type
- Individual
- Name
- Lastachia Henderson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 12, 2024
- Last Updated
- Feb 12, 2024
Practice Location
- Address
- 511 STERLINGTON HWY
- City
- Farmerville
- State
- Louisiana
- ZIP Code
- 71241-3122
- Phone
- (318) 309-1449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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| John Dick, CIT |
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