Individual provider · Type 1 NPI
Tyiesha Lee White, M.A.
Addiction (Substance Use Disorder) Counselor · Troy, IL
NPI number
1326880873
Active
Practice location
104 Henderson St
Troy, IL 62294-1114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician | 247200000X | 2022046188 (MO) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 7995 (MO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1326880873
Tyiesha Lee White, M.A.'s National Provider Identifier is 1326880873, issued on Jun 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Troy, IL. The record was last updated on Jun 6, 2024.