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Individual

MS. TARA HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDC-I

Contact information

Practice address
26229 N CRANES MILL RD, CANYON LAKE, TX 78133-1957
(830) 935-2800
Mailing address
26229 N CRANES MILL RD, CANYON LAKE, TX 78133-1957
(830) 935-2800

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/12/2023
Last updated
07/12/2023
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