Individual
TIYAWNI KERRIESHA BYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4705 BOSTON POST RD., CHARLESTOWN, RI 02813
(401) 789-1367
Mailing address
40 W COIT ST, NEW LONDON, CT 06320-5028
(860) 574-6864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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