Individual
DANIEL E. HENDRICKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D., ADC
Contact information
Practice address
1287 MARKS CHURCH RD, SUITE F, AUGUSTA, GA 30909-6330
(706) 481-8181
Mailing address
3535 INTERLACHEN DR, AUGUSTA, GA 30907-9528
(706) 481-8181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
203
GA
103T00000X
Psychologist
973
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00472821B
—
GA
01
—
973
PSYCHOLOGY LICENSE
GA
Enumeration date
06/10/2006
Last updated
09/11/2025
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