Alexander Glenn Henderson
Social Worker in West Sacramento, CA. Individual provider (NPI-1).
NPI number1306583380
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1306583380
- Entity type
- Individual (NPI-1)
- Name
- Alexander Glenn Henderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2022
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
3050 Beacon Blvd Ste 103West Sacramento, CA 95691-3467
Phone 916-462-3100
Mailing address
3050 Beacon Blvd Ste 103West Sacramento, CA 95691-3467
Phone 916-462-3100
Other practice locations
801 Empire St
Fairfield, CA 94533-5702
Fairfield, CA 94533-5702
Phone 707-425-5744 · Fax 707-425-5162
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All 21 Social Worker providers in West Sacramento · All 795 providers in West Sacramento
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