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Individual
KYLA EILEEN IDA
Active
Individual
KYLA EILEEN IDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.190927
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.163075
OH
101YM0800X
Mental Health Counselor
Primary
C.2607963
OH
Other
Enumeration date
06/21/2023
Last updated
09/21/2026
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