Individual
SKYLA RAE ALYCE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
6330 31ST AVE NE STE 101, TULALIP, WA 98271-7423
(360) 716-2200
Mailing address
4316 SUNRISE LOOP RD, TULALIP, WA 98271-2100
(360) 502-6428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61682932
WA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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