Individual provider · Type 1 NPI

Tylie Shae Henderson

Addiction (Substance Use Disorder) Counselor · Kahuku, HI

NPI number 1366034878 Active

Practice location

56-660 Kamehameha Hwy
Kahuku, HI 96731-2210

Call (801) 822-6716 Map

Mailing address

1484 N 950 W
Lehi, UT 84043-1099

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1366034878

Tylie Shae Henderson's National Provider Identifier is 1366034878, issued on Feb 5, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kahuku, HI. The record was last updated on Feb 5, 2021.