Individual
MRS. STEPHANIE ANNE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 914-0660
Mailing address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 914-0660
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
MPSS-LFTQKR
CA
175T00000X
Peer Specialist
Primary
MPSS-LFTQKR
CA
Other
Enumeration date
03/09/2023
Last updated
08/25/2025
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