Individual provider · Type 1 NPI

Tyshawna Coralicia Sanders

Addiction (Substance Use Disorder) Counselor · Greenville, SC

NPI number 1639863517 Active

Practice location

1400 Cleveland St
Greenville, SC 29607-2410

Mailing address

PO Box 1948
Greenville, SC 29602-1948

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 1639863517

Tyshawna Coralicia Sanders's National Provider Identifier is 1639863517, issued on Jun 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenville, SC. The record was last updated on Jun 5, 2023.