JUSTIN LANCE BRANDON HENDERSON


Address: 1450 Main St., Weaverville, CA 96093-1640
Phone: 5306231362

JUSTIN LANCE BRANDON HENDERSON (NPI# 1649773037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649773037
Entity Type Individual
Full Name JUSTIN LANCE BRANDON HENDERSON
Credential RADT
Practice Address 1450 Main St.
Weaverville
CA 96093-1640
Mailing Address Po Box 1640
Weaverville
CA 96093-1640
Practice Telephone 5306231362
Practice Fax Number 5306231447
Mailing Telephone 5306231362
Mailing Fax Number 5306231447
Enumeration Date 2018-03-13
Last Update Date 2018-03-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
70144 CA Behavioral Health & Social Service Providers

Other Providers JUSTIN HENDERSON

NPI Name Taxonomy Address Enumeration
1770112138 Justin Henderson Nurse Practitioner 3851 S Birch Dr, Salt Lake City, UT 84109-3742 2020-04-07
1871944082 Justin William Henderson Pharmacist 2509 Meade Ct, Ann Arbor, MI 48105-1304 2016-06-29
1972809028 Justin D Henderson Counselor 340 N Sam Houston Pkwy E # A165s, Houston, TX 77060 2011-02-08
1508199365 Justin Eric Henderson Nurse Practitioner 619 Kapahulu Ave, Ph, Honolulu, HI 96815-3853 2009-09-11
1356951636 Justin Francis Henderson Case Manager/Care Coordinator 25 W Main St, Conway, NH 03818-6142 2020-08-03
1194213421 Justin Luvalle Henderson Case Manager/Care Coordinator 33 W 1st St Ste 100, Dayton, OH 45402-1243 2018-04-23
1578709077 Justin Daniel Henderson Counselor 614 N Easton Rd, Glenside, PA 19038-4301 2009-01-05
1588869861 Justin L Henderson Internal Medicine 1 Medical Center Dr, Middletown, OH 45005 2007-06-18

Office Location

Street Address 1450 MAIN ST.
City WEAVERVILLE
State CA
Zip Code 96093-1640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386784973 Ann Houle Marriage & Family Therapist 1450 Main St., Weaverville, CA 96093-1640 2007-02-06
1366097107 County of Trinity Marriage & Family Therapist 1450 Main St., Weaverville, CA 96093-1640 2019-08-08
1720534308 Katherine Lagorio Student in an Organized Health Care Education/Training Program 1450 Main St., Weaverville, CA 96093-1640 2016-09-01
1043683519 Eko Myers Counselor 1450 Main St., Weaverville, CA 96093 2015-11-05
1962879668 Jaimie Moulton Counselor 1450 Main St., Weaverville, CA 96093-1640 2015-08-28
1215354121 Teresa Ann Verhalen Slater Counselor 1450 Main St., Weaverville, CA 96093-1640 2014-03-28
1043580574 Anahita Andrea De Cleyre Counselor 1450 Main St., Weaverville, CA 96093 2011-12-30
1861683369 Christian Gardinier Social Worker 1450 Main St., Weaverville, CA 96093-1640 2007-08-08
1093918591 Anne O. Lagorio Counselor 1450 Main St., Weaverville, CA 96093-1640 2007-06-11
1417071465 Juliann Nelson Counselor 1450 Main St., Weaverville, CA 96093 2007-03-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861981011 Timothy Dobbs Case Manager/Care Coordinator 333 Tom Bell Rd, Weaverville, CA 96093 2018-05-03
1386164580 Redding Rancheria Clinic/Center 31660 Hwy 3, Weaverville, CA 96093 2017-06-20
1578093134 Gregory James Lindley Case Manager/Care Coordinator 333 Tombell Road, Weaverville, CA 96093 2017-06-15
1134595614 Tammerab Baudizzon Case Manager/Care Coordinator 51 Industrial Way, 333 Tom Bell Rd, Weaverville, CA 96093 2015-08-19
1023493913 Robert Alan Millette Registered Nurse 81 Taylor St., Weaverville, CA 96093 2015-07-21
1316327331 Ann Nguyen Dentist 100 Horsehoe Ln, Weaverville, CA 96093 2015-06-04
1962801225 Daniel W Powers Dentist 91 Brooks Lane, Weaverville, CA 96093 2014-08-22
1275978496 Tanya E Menezes Counselor 31660 Ca-3, Weaverville, CA 96093 2013-05-01
1568714939 Angela Marie Benson Counselor 1640 Main St., Weaverville, CA 96093 2012-10-10
1922353242 Megan Michelle Blanchard Registered Nurse #51 Industrial Park, Trinity County Health & Human Services, Weaverville, CA 96093 2012-07-24
Find all providers in zip 96093

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619426814 Megan Stanton Counselor 2 S Main St Ste 30, Weaverville, NC 28787-8485 2016-09-28
1396196846 Kelli Revels Counselor 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787 2016-06-27
1871952374 Melissa Marie Zimmer Counselor 19 Loftin St, Weaverville, NC 28787-8863 2016-02-12
1376921320 Samuel Hensley Counselor 11 Pickens Ln, Weaverville, NC 28787-9321 2015-05-11
1275978496 Tanya E Menezes Counselor 31660 Ca-3, Weaverville, CA 96093 2013-05-01
1568714939 Angela Marie Benson Counselor 1640 Main St., Weaverville, CA 96093 2012-10-10
1871864942 Carol Mayfield Counselor 35 Reems Trace Rd, Weaverville, NC 28787-8414 2012-01-22
1174829865 Melissa Mcminn Counselor 901 Old Mars Hill Hwy, Weaverville, NC 28787 2011-01-28
1518116920 Mark E Vantuyl Counselor 14 Clover Mountain Ln, Weaverville, NC 28787-8857 2008-09-10
1760039598 Candace Lynn Townsend Counselor 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 2019-08-26
Find all providers in WEAVERVILLE

Competitor

Search similar providers

City WEAVERVILLE
Zip Code 96093

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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