MRS. CAROL HENDERSON LICDC NPI 1780036079

NPI Information

NPI: 1780036079
Provider Name: MRS. CAROL HENDERSON, LICDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3194 DEER TRL UNIT B
CORTLAND, OH
ZIP 44410
Phone: (330) 502-8875
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MRS. Carol Henderson, LICDC is an addiction (substance use disorder) counselor in Cortland, OH. MRS. Carol Henderson, LICDC NPI is 1780036079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3194 DEER TRL UNIT B
CORTLAND, OH
ZIP 44410-113
Phone: (330) 502-8875

The enumeration date for this NPI number is 7/11/2016 and was last updated on 1/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		S0013966	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC933722	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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