Individual
BETTY HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BROAD ST, DUBLIN, VA 24084-3201
(540) 674-4506
Mailing address
125 BROAD ST, DUBLIN, VA 24084-3201
(540) 674-4506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000240
VA
101YP2500X
Professional Counselor
Primary
0701004618
VA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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