SearchColorado101YA0400X

Luther Hendersen, CAC III

NPI 1760627269 · on the registry since 2008

Practice

Address
5698 S Hwy 85
Suite 104
Colorado Springs, CO 80911
Phone
(719) 390-4652
Fax
(719) 227-2119
Organisation at this address
Bridge To Awareness Counseling Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado