person
Mr. Reginald Quentine Henderson SR., CSAC-I
Mental Health Counselor in Durham, North Carolina
NPI 1811149099

Reginald Quentine Henderson SR. is a Mental Health Counselor based in Durham, NC and is specialized in Mental Health. Reginald Quentine Henderson SR. practices in Durham, NC and has the professional credentials of CSAC-I. The NPI Number for Reginald Quentine Henderson SR. is 1811149099 and holds a License No. (North Carolina).

The current practice location address for Reginald Quentine Henderson SR. is 3622 Lyckan Pkwy Ste 6008, Durham, NC and can be reached out via phone at 919-381-6816 and via fax at 919-381-6818.

Location: 3622 Lyckan Pkwy Ste 6008, Durham, NC, 27707-1523
person
Provider Profile Details
NPI Number
1811149099
Provider Name
Reginald Quentine Henderson SR.
Credential
CSAC-I
Provider Entity Type
Individual
Gender
Male
Address
3622 Lyckan Pkwy Ste 6008, Durham, NC, 27707-1523
Phone Number
919-381-6816
Fax Number
919-381-6818
Provider Enumeration Date
10/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3622 Lyckan Pkwy Ste 6008
City
State
Zip
27707-2570
Phone Number
919-381-6816
Fax Number
919-381-6818
person
Provider Business Mailing Address Details
Address
3622 Lyckan Pkwy Ste 6008
City
State
Zip
27707-2570
Phone Number
919-381-6816
Fax Number
919-381-6818
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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