Individual
BRANDY SHAYNE HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 W MAIN ST, FAIRBORN, OH 45324-5037
(937) 281-4673
(937) 736-2815
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(937) 736-2815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCDCIII.162541
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
08/27/2025
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