Individual
KAYLA-ANN HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC, SUDP
Contact information
Practice address
7105 NE 40TH ST, VANCOUVER, WA 98661-3058
(360) 993-3000
Mailing address
PO BOX 1845, VANCOUVER, WA 98668-1845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61332430
WA
1041C0700X
Clinical Social Worker
Primary
SC61218942
WA
Other
Enumeration date
10/03/2017
Last updated
03/25/2024
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