Henderson, Kathy A.

Henderson, Kathy A. is an sole proprietor health care provider with primary practice located at 19941 Gallagher St. , Detroit MI 48234-1655. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Henderson, Kathy A. can be contacted via phone (313) 331-8990.

Contact Information

Primary practice address
19941 Gallagher St. Detroit MI 48234-1655
Phone: (313) 331-8990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1-00030 Michigan

Profile Details

NPI number 1235309394
LBN Legal business name Henderson, Kathy A.
Credentials CAC-1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2008
Last updated Mar 5th, 2008 - about 16 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