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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. GEORGEANN THELMA HENDRICKS, LMSW, LISAC

Active

MS. GEORGEANN THELMA HENDRICKS, LMSW, LISAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN CARLOS, Arizona. NPI 1659641603 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · SAN CARLOS, AZ

Registration Details

NPI Number
1659641603
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2012 (14.412694728361 yrs)
Last Updated
Jan 9, 2012
Licenses
LISAC-10819 (AZ)
LMSW-11182 (AZ)

Practice Information

Address
5 SAN CARLOS AVE.
SAN CARLOS, AZ, 855509900
Browse AZ providers · Browse ZIP 85550
Phone
9284754875
Fax
9284754880
Additional Specialty
Social Worker

Other Addiction (Substance Use Disorder) Counselor Providers in SAN CARLOS, AZ

Name Credential NPI
LEANN VICTOR LISAC 1245666502
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.