Individual
SUZANNE SALE HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1110 W WILLIAM CANNON DR STE 303, AUSTIN, TX 78745-3188
(512) 899-2100
Mailing address
10401 LA COSTA DR, AUSTIN, TX 78747-1214
(152) 567-6832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14551
TX
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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