Individual
GINA WEST-HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
Mailing address
13453 SPRING ST, OMAHA, NE 68144-3507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09013
IA
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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