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Individual

MICHAEL HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3400 W 16TH ST # 80634, GREELEY, CO 80634-6862
(970) 978-4386
Mailing address
3400 W 16TH ST # 80634, GREELEY, CO 80634-6862
(970) 978-4386

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
12/16/2024
Last updated
06/09/2026
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