Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN K HENDERSON, LAC
ActiveAddiction (Substance Use Disorder) Counselor · SOUTH BEND, IN
Registration Details
- NPI Number
- 1225310402
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2011 (14.610090392249 yrs)
- Last Updated
- Sep 14, 2011
- License
-
86000033A (IN)
Practice Information
- Address
-
403 E MADISON STSOUTH BEND, IN, 466172322Browse IN providers · Browse ZIP 46617
- Phone
- 5742831234
- Fax
- 5742831131
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. ERIN T. LACOURT | LAC | 1386858629 |
| MS. PEARL A. ANDERSON | ACIT | 1174738439 |
| CHRISTINE NOWAK | M.ED | 1386981124 |
| ROLANDO A SOSA GRANADOS | LCAC, MSW | 1942648456 |
| MISS PATRICIA ANN MILLER | ACIT | 1902227911 |
| MS. SANDRA J JACKSON | LCAC CADAC IV NADAC | 1124449053 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.