Individual
SHARLENE EARLENE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 HEBERTON AVE, STATEN ISLAND, NY 10302-1415
(718) 448-1900
(718) 448-1903
Mailing address
870 BROADWAY APT 3, BAYONNE, NJ 07002-6317
(646) 648-6402
(718) 448-1903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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