Individual
ROBERT HENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
236 FILE ST, CLAYTON, GA 30525-3023
(888) 914-1050
Mailing address
236 FILE ST, CLAYTON, GA 30525-3023
(888) 914-1050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21434
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
266
SC
101YM0800X
Mental Health Counselor
11829
NC
101YM0800X
Mental Health Counselor
7282
SC
Other
Enumeration date
07/17/2020
Last updated
10/13/2022
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