SUSAN HENDERSON, LAC

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1225310402

Practice Address

403 E MADISON ST
South Bend, IN 46617

Phone: (574) 283-1234

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 86000033A (IN)

Frequently Asked Questions

NPI 1225310402 is the National Provider Identifier for SUSAN HENDERSON, LAC, a Counselor - Addiction (Substance Use Disorder) provider located in South Bend, IN. This NPI was enumerated on September 14, 2011.
SUSAN HENDERSON, LAC practices at 403 E MADISON ST, South Bend, IN 46617.

Quick Facts

NPI
1225310402
Type
Individual
Enumerated
Sep 14, 2011
Last Updated
Sep 14, 2011

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