Individual
CHERYL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
4214 E MAIN ST, COLUMBUS, OH 43213-3028
(614) 334-6903
Mailing address
4214 E MAIN ST, COLUMBUS, OH 43213-3028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.173441
OH
175T00000X
Peer Specialist
APS.003160
OH
Other
Enumeration date
04/11/2022
Last updated
12/19/2025
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