Individual
STEVEN BURNELL HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 ALTA DR, SUITE 4, LAS VEGAS, NV 89106-4163
(702) 474-6450
Mailing address
3370 SAINT ROSE PKWY, APT 1323, HENDERSON, NV 89052-4182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01401
NV
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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