TYIESHA LEE WHITE

TROY, IL
NPI1326880873
Professional NameTL WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO  7995)
Additional Taxonomies247200000X Technician, Other
(Licence: MO  2022046188)
Enumeration Date2024-06-06
Last Update Date2024-06-06
Business Address
TYIESHA LEE WHITE M.A.
104 HENDERSON ST
TROY, IL 62294-1114
Phone number: 573-353-3642
Mailing Address
TYIESHA LEE WHITE M.A.
104 HENDERSON ST
TROY, IL 62294-1114
Phone number: 573-353-3642