Individual provider · Type 1 NPI

Tara Henry, LCDC-I

Addiction (Substance Use Disorder) Counselor · Canyon Lake, TX

NPI number 1437838901 Active

Practice location

26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957

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 1437838901

Tara Henry, LCDC-I's National Provider Identifier is 1437838901, issued on Jul 12, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canyon Lake, TX. The record was last updated on Jul 12, 2023.