Lacage Marie Henderson

NPI #1982266326 in Wasilla, Alaska

Provider Information

NPI Number
1982266326
Entity Type
Individual
Name
Lacage Marie Henderson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 6, 2019
Last Updated
Jul 6, 2019

Practice Location

Address
2521 E MOUNTAIN VILLAGE DR STE F
State
Alaska
ZIP Code
99654-7373
Phone
(907) 290-3760

Specialties & Taxonomy Codes

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

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