Individual
MRS. AUBREYANNA M HENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA; CADC-R
Contact information
Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-19-369-
OR
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
19-QMHA-I-02569
OR
Other
Enumeration date
11/14/2016
Last updated
09/10/2020
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