Individual
BONNIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 E 13TH ST, MERCED, CA 95341
(209) 381-6800
(209) 725-3906
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6800
(209) 725-3883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ASW26777
CA
1041C0700X
Clinical Social Worker
Primary
69922
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2008
Last updated
05/18/2018
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