Individual
MRS. GLORIA M HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADC
Contact information
Practice address
1423 KIRKWOOD HIGHWAY & POLLY DRUMMOND RD., SUITE 3304 &3305, NEWARK, DE 19711
(302) 454-7520
(302) 454-7524
Mailing address
1423 KIRKWOOD HIGHWAY & POLLY DRUMMOND RD., SUITE 3304 &3305, NEWARK, DE 19711
(302) 454-7520
(302) 454-7524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC 768
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DCB 768
CADC
DE
Enumeration date
03/12/2007
Last updated
07/08/2007
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