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Individual
ISAAC JAY HENDERSON
Active
Individual
ISAAC JAY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16416-132
WI
101YP2500X
Professional Counselor
Primary
5335-226
WI
Other
Enumeration date
12/19/2018
Last updated
06/26/2026
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