Individual
KAYLA MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Mailing address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4971463
ID
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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