Individual
THOMAS JASON HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCR
Contact information
Practice address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 323-5330
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 504-9577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-11-10944
OR
101YM0800X
Mental Health Counselor
25-QMHA-R-6433
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-21-1152
CADCR
OR
Enumeration date
01/28/2021
Last updated
04/21/2025
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