Henderson, Gage Joseph

Henderson, Gage Joseph is an sole proprietor health care provider with primary practice located at 1907 Boys Republic Dr , Chino Hills CA 91709. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Henderson, Gage Joseph can be contacted via phone (909) 628-1217.

Contact Information

Primary practice address
1907 Boys Republic Dr Chino Hills CA 91709
Phone: (909) 628-1217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 111932 California

Profile Details

NPI number 1205316155
LBN Legal business name Henderson, Gage Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2018
Last updated Mar 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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