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Individual

MS. RICHELLE APRIL HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.A.D.C. I

Contact information

Practice address
185 N 4TH ST, SAINT HELENS, OR 97051-1535
(503) 366-4540
(503) 366-4526
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06-07-24
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
195164
OR
Enumeration date
09/27/2007
Last updated
09/27/2007
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