Individual
MR. KIM A HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC MAC
Contact information
Practice address
152 BEDFORD STREET, CUMBERLAND, MD 21502-2304
(301) 722-8000
(301) 722-8001
Mailing address
152 BEDFORD STREET, CUMBERLAND, MD 21502-2304
(301) 722-8000
(301) 722-8001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA119
MD
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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