Individual
MAUREEN T HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
191 JORALEMON ST, BROOKLYN, NY 11201-4306
(718) 722-6190
(718) 772-6189
Mailing address
191 JORALEMON ST, BROOKLYN, NY 11201-4306
(718) 722-6190
(718) 772-6189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20363
NY
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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