Individual
MRS. JACQUELINE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
(501) 305-5009
Mailing address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
(501) 305-5009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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