Individual
GENE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC3, NCAC2
Contact information
Practice address
6270 LEHMAN DR, SUITE 101, COLORADO SPRINGS, CO 80918-1469
(719) 380-1644
Mailing address
15595 COPPERFIELD DR, COLORADO SPRINGS, CO 80921-3526
(719) 380-1644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2345
CO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/09/2010
Last updated
06/10/2010
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