Individual
LUTHER J HENDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC III
Contact information
Practice address
5698 S HWY 85, SUITE 104, COLORADO SPRINGS, CO 80911-1465
(719) 390-4652
(719) 227-2119
Mailing address
5698 S HWY 85, SUITE 104, COLORADO SPRINGS, CO 80911-1465
(719) 390-4652
(719) 227-2119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4741
CO
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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