Individual
MR. BUSTER LAMONTE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6950 65TH ST, SACRAMENTO, CA 95823-2316
(916) 393-1222
Mailing address
6950 65TH ST, SACRAMENTO, CA 95823-2316
(916) 393-1222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
06/09/2025
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