Individual provider · Type 1 NPI

Tylene Kenyon

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1114802550 Active

Practice location

510 Tacoma Ave S
Tacoma, WA 98402-5416

Call (253) 572-4750 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61490522 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114802550

Tylene Kenyon's National Provider Identifier is 1114802550, issued on Aug 6, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Aug 6, 2025.