Individual
REGINA HENDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8000 MELTON RD, GARY, IN 46403-3114
(219) 938-4651
(219) 938-4679
Mailing address
8000 MELTON RD, GARY, IN 46403-3114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000226A
IN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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