person
Mr. Earl Daniel Henson JR., CAODC
Addiction (Substance Use Disorder) Counselor in Loyalton, California
NPI 1528550530

Earl Daniel Henson JR. is an Addiction (Substance Use Disorder) Counselor based in Loyalton, CA and is specialized in Addiction (Substance Use Disorder). Earl Daniel Henson JR. practices in Loyalton, CA and has the professional credentials of CAODC. The NPI Number for Earl Daniel Henson JR. is 1528550530 and holds a License No. 6174 (California).

The current practice location address for Earl Daniel Henson JR. is 704 Mill Street, Loyalton, CA and can be reached out via phone at 530-993-6746 and via fax at 530-993-6759.

Location: 704 Mill Street, Loyalton, CA, 96118-0265
person
Provider Profile Details
NPI Number
1528550530
Provider Name
Earl Daniel Henson JR.
Credential
CAODC
Provider Entity Type
Individual
Gender
Male
Address
704 Mill Street, Loyalton, CA, 96118-0265
Phone Number
530-993-6746
Fax Number
530-993-6759
Provider Enumeration Date
06/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
704 Mill Street
City
State
Zip
96118
Phone Number
530-993-6746
Fax Number
530-993-6759
person
Provider Business Mailing Address Details
Address
704 Mill Street
City
State
Zip
96118
Phone Number
530-993-6746
Fax Number
530-993-6759
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6174 (California)
Definition
Definition to come...
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