Individual
KYE YVETTE TAVERNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LCDC
Contact information
Practice address
3112 CROWNOVER ST, AUSTIN, TX 78725-4752
(510) 414-3026
Mailing address
3112 CROWNOVER ST, AUSTIN, TX 78725-4752
(510) 414-3026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11356
TX
101YM0800X
Mental Health Counselor
57853
TX
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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