Individual
TRAVON ALEXIS-MONET HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5720
Mailing address
2528 62ND AVE E APT C, FIFE, WA 98424-2293
(206) 349-4541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
D6Z8J8Q2
WA
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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