Individual
DANIEL HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
5209 KENRIDGE DR, BLUE ASH, OH 45242-4833
(801) 920-7440
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
006028
OH
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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