| Mr Earl Daniel Henson Jr, CAODC | |
|
704 Mill Street, Loyalton, CA 96118 | |
| (530) 993-6746 | |
| (530) 993-6759 |
| Full Name | Mr Earl Daniel Henson Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 704 Mill Street, Loyalton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528550530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6174 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Earl Daniel Henson Jr, CAODC Po Box 265, Loyalton, CA 96118-0265 Ph: (530) 993-6746 | Mr Earl Daniel Henson Jr, CAODC 704 Mill Street, Loyalton, CA 96118 Ph: (530) 993-6746 |
Aubree Christene Fae Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Mill Street, Loyalton, CA 96118 Phone: 530-993-6765 | |
Mr. John J Shields, C.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Mill St., Loyalton, CA 96118 Phone: 530-993-6714 Fax: 530-993-6759 | |
Robert Walter Szopa, CAADAC RS Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Mill St, Loyalton, CA 96118 Phone: 530-993-6746 Fax: 530-993-6759 |