TYLIE SHAE HENDERSON

KAHUKU, HI
NPI1366034878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-02-05
Last Update Date2021-02-05
Business Address
TYLIE SHAE HENDERSON
56-660 KAMEHAMEHA HWY
KAHUKU, HI 96731-2210
Phone number: 801-822-6716
Mailing Address
TYLIE SHAE HENDERSON
1484 N 950 W
LEHI, UT 84043-1099
Phone number: 801-822-6716