Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathy A. Henderson, CAC-1

Individual provider Substance Abuse Rehabilitation Facility · NPI 1235309394

Kathy A. Henderson, CAC-1 is a Substance Abuse Rehabilitation Facility in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
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Practice location Address checks out

19941 Gallagher St
Detroit, MI 48234-1655
Phone: (313) 331-8990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 1-00030 (MI)

Record details

NPI number1235309394
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAC-1
Sole proprietorYes
NPI enumeratedMarch 5, 2008
Last updated in NPPESMarch 5, 2008

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