Henderson, Justin Lance Brandon

Henderson, Justin Lance Brandon is an individual health care provider with primary practice located at 1450 Main St. , Weaverville CA 96093-1640. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Henderson, Justin Lance Brandon can be contacted via phone (530) 623-1362.

Contact Information

Primary practice address
1450 Main St. Weaverville CA 96093-1640
Phone: (530) 623-1362
Fax: (530) 623-1447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 70144 California

Profile Details

NPI number 1649773037
LBN Legal business name Henderson, Justin Lance Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2018
Last updated Dec 15th, 2022 - about 3 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.

Request for update

Popular Providers