Johnny Earl Henderson
Johnny Earl Henderson is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
134 Picnic AveSan Rafael, CA 94901-5003
Phone: (415) 410-9388
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 16180 (CA) |
|---|
Record details
| NPI number | 1154207843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 15, 2025 |
| Last updated in NPPES | August 15, 2025 |
| Certification date | August 15, 2025 |
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