Gloria M Henderson in Newark - Addiction (substance Use Disorder)

Gloria M Henderson - NPI 1821120270

Gloria M Henderson is a Addiction (substance Use Disorder) in Newark, Delaware. Gloria M Henderson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gloria M Henderson is 1821120270. The last update date is 2007-07-08.

Gloria M Henderson's current location address is 1423 Kirkwood Highway & Polly Drummond Rd., Newark, Delaware. You can contact this provider via phone number 3024547520 and fax number 3024547524. The mailing address for Gloria M Henderson is 1423 Kirkwood Highway & Polly Drummond Rd., Newark, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Gloria M Henderson
Address 1423 Kirkwood Highway & Polly Drummond Rd., Newark, Delaware
Phone Number 3024547520
Fax Number 3024547524
Sole Proprietor N
Credentials BS, CADC

NPI Number Detail

NPI Number 1821120270
Provider Enumeration Date 2007-03-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1423 Kirkwood Highway & Polly Drummond Rd.
City Newark
State Delaware (DE)
Post Code 19711
Phone Number 3024547520
Fax Number 3024547524

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No CADC 768
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DCB 768 DE CADC

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FAQs about Gloria M Henderson

What is the unique provider identifier assigned to Gloria M Henderson?

The Gloria M Henderson has been issued the NPI (National Provider Identifier) 1821120270 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gloria M Henderson's facilities are geographically located?

The facilities of Gloria M Henderson are physically situated at the following location: 1423 Kirkwood Highway & Polly Drummond Rd., Newark, DE, 19711.

What is the Gloria M Henderson's specialty and taxonomy code?

The Gloria M Henderson's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1821120270 to Gloria M Henderson?

The Gloria M Henderson received its 1821120270 assignment from the Centers for Medicare & Medicaid Services on 2007-03-12.

As of what date were the details pertaining to Gloria M Henderson last refreshed?

The information related to the Gloria M Henderson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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