Larry H Hendricks
Counselor in Tacoma, WA. Individual provider (NPI-1).
NPI number1184809071
StatusActive
Last updated in NPPESJan 9, 2008
Details
- NPI
- 1184809071
- Entity type
- Individual (NPI-1)
- Name
- Larry H Hendricks
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2008
- Last updated
- Jan 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | RC00050321 | WA | Yes |
Practice location
1222 S Union AveTacoma, WA 98405-1922
Phone 253-396-5166
Mailing address
1222 S Union AveTacoma, WA 98405-1922
Phone 253-396-5166
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