Individual
DEBRA ASHLEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
618 W MARKET ST, ABERDEEN, WA 98520-6016
(360) 819-6061
Mailing address
2022 W 1ST ST, ABERDEEN, WA 98520-5549
(360) 660-4916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61241189
WA
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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