Kel K Henderson
Kel K Henderson is a Peer Specialist in Orange, California. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
1100 W Town And Country Rd Ste 1250Orange, CA 92868-4633
Phone: (949) 357-2556
Fax: (855) 568-2494
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
Record details
| NPI number | 1811646656 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 21, 2022 |
| Last updated in NPPES | December 5, 2022 |
| Certification date | December 5, 2022 |
| Mailing address | 1100 W Town And Country Rd Ste 1250, Orange, CA 92868-4633 |
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