Individual
ANDREA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 WASHINGTON ST STE 200, OAKLAND, CA 94607-3924
(510) 653-5040
Mailing address
725 WASHINGTON ST STE 200, OAKLAND, CA 94607-3924
(510) 653-5040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
28303
CA
Other
Enumeration date
06/05/2007
Last updated
07/24/2024
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