| NPI | 1801242730 |
|---|---|
| Other Name | TANYA L BLACKHORSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-CRM-033) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000001319) |
| 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-3628) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-04-26 |