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NPI Code Detail

MEDICARE: KATRO M HENDERSON CADC

MEDICARE: KATRO M HENDERSON CADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1467898999
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRO M HENDERSON CADC
Provider Business Mailing Address
First Line : 3661 S MARYLAND PKWY
Second Line : SUITE 64
City : LAS VEGAS
State : NV
Zip : 89169-3003
Country : US
Telephone Number : 702-735-7900
Fax Number : 702-735-0081
Provider Business Practice Location Address
First Line : 3661 S MARYLAND PKWY
Second Line : SUITE 64
City : LAS VEGAS
State : NV
Zip : 89169-3003
Country : US
Telephone Number : 702-735-7900
Fax Number : 702-735-0081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2013
Last Update Date : 10/01/2024

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Directions to “ KATRO M HENDERSON CADC” Practice Location

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