Individual
DANIEL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AACR
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-6800
Mailing address
15817 MANOR WAY, #2, LYNNWOOD, WA 98087-6230
(425) 280-7437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60508542
WA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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