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Organization
HENNING AND ASSOCIATES INC
Active
Organization
HENNING AND ASSOCIATES INC
Active
Other names
Odyssey Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HAYNES HENNING (CEO)
(704) 923-8360
Entity
Organization
Contact information
Practice address
1002 PHILADELPHIA CHURCH RD, DALLAS, NC 28034-7684
(704) 923-8360
(704) 923-8364
Mailing address
1002 PHILADELPHIA CHURCH RD, DALLAS, NC 28034-7684
(704) 923-8360
(704) 923-8364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21100.320
NC
1041C0700X
Clinical Social Worker
Primary
P009324
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408836
—
NC
Enumeration date
10/18/2015
Last updated
03/07/2016
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