Individual
MR. REGINALD QUENTINE HENDERSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC-I
Contact information
Practice address
3622 LYCKAN PKWY STE 6008, DURHAM, NC 27707-2570
(919) 381-6816
(919) 381-6818
Mailing address
1613 BIVINS ST, DURHAM, NC 27707-1523
(919) 224-9458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/19/2008
Last updated
04/22/2009
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