Individual
MRS. TANYA C KYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6048 CROSSBOW DR, COLUMBUS, GA 31907-2904
(706) 596-5590
Mailing address
6048 CROSSBOW DR, COLUMBUS, GA 31907-2904
(706) 596-5590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC4235
GA
101Y00000X
Counselor
NNC73246
GA
Other
Enumeration date
11/21/2006
Last updated
07/09/2007
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