Individual
CAREY L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWT, LCDCIII
Contact information
Practice address
1207 W STATE ST STE M, ALLIANCE, OH 44601-4686
(330) 821-8407
(330) 821-8506
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162847
OH
104100000X
Social Worker
Primary
S.2504768-TRNE
OH
Other
Enumeration date
05/22/2023
Last updated
01/05/2026
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