Tylie Shae Henderson

NPI #1366034878 in Kahuku, Hawaii

Provider Information

NPI Number
1366034878
Entity Type
Individual
Name
Tylie Shae Henderson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Feb 5, 2021
Last Updated
Feb 5, 2021

Practice Location

Address
56-660 KAMEHAMEHA HWY
City
Kahuku
State
Hawaii
ZIP Code
96731-2210
Phone
(801) 822-6716

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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