Individual
NICOLE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 323-5330
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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