Tyiesha Lee White, M.A.

NPI #1326880873 in Troy, Illinois

Provider Information

NPI Number: 1326880873
Entity Type: Individual
Name: Tyiesha Lee White, M.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: M.A.
Enumeration Date: Jun 6, 2024
Last Updated: Jun 6, 2024

Practice Location

Address: 104 HENDERSON ST
City: Troy
State: Illinois
ZIP Code: 62294-1114
Phone: (573) 353-3642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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MRS. Mindy B Gold, LCPC	Counselor - Addiction (Substance Use Disorder)	Chicago	AI Deep Dive
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Organizations

Provider Name	Specialty	City
South Eastern Illinois Counseling Center INC	Counselor - Addiction (Substance Use Disorder)	Olney	AI Deep Dive

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