Individual
CHRISTINA LG HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 LAKE PLAZA DR STE 205, COLORADO SPRINGS, CO 80906-3577
(719) 375-2955
(866) 331-4283
Mailing address
5524 MOUNTAIN GARLAND DR, COLORADO SPRINGS, CO 80923-8819
(719) 985-1350
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-35795
CO
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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