Individual
MS. CONNIE JEAN HENZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CADC-M
Contact information
Practice address
11301 E DENVER RD, COLEMAN, MI 48618-9631
(313) 319-6362
Mailing address
11301 E DENVER RD, COLEMAN, MI 48618-9631
(313) 319-6362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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