Individual
MISS KAYLA MICHELLE BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12300 SHERMAN WAY APT 174, NORTH HOLLYWOOD, CA 91605-5510
(747) 389-6952
Mailing address
12300 SHERMAN WAY APT 174, NORTH HOLLYWOOD, CA 91605-5510
(747) 389-6952
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
CA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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