TISHA HENDERSON

TAMPA, FL
NPI1851643316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  4973)
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
Ms. TISHA HENDERSON CAP
2908 CHIPCO ST
TAMPA, FL 33605-1457
Phone number: 813-247-7368
Mailing Address
Ms. TISHA HENDERSON CAP
2908 CHIPCO ST
TAMPA, FL 33605-1457
Phone number: 813-247-7368
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