Organization
LIFE CENTERS USA COUNSELING
Active
Other names
Life Centers USA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA A HENDRON PHD (OWNER)
(518) 669-6133
Entity
Organization
Contact information
Practice address
1524 CENTRAL AVE, COLONIE, NY 12205-5065
(518) 669-6133
(518) 869-2122
Mailing address
19 WILBUR ST, COLONIE, NY 12205-4555
(518) 669-6133
(518) 869-2122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19061
NY
101YP1600X
Pastoral Counselor
—
CA
Other
Enumeration date
07/26/2010
Last updated
01/04/2011
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