Individual
KAYLA BERNINGHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 SPRING ST, PORTLAND, ME 04101-3827
(404) 445-6070
Mailing address
931 MONROE DR NE STE A102-106, ATLANTA, GA 30308-1793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC7184
ME
101YP2500X
Professional Counselor
LPC014012
GA
221700000X
Art Therapist
—
—
Other
Enumeration date
01/11/2021
Last updated
04/08/2024
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