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Contact Information

CANDICE HENDERSON, LADAC
3909 HIGHWAY 282
VAN BUREN, AR72956-8718
 Phone: 479-242-1003
 Fax: 501-510-5917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CANDICE HENDERSON · (Female)

NPI Number 1558192948
Status Active
Credentials LADAC
Entity Individual
Enumeration date 08/08/2024
Last updated 08/08/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 4891
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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