Individual
KYLA CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(757) 633-7698
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
12480515-6009
UT
104100000X
Social Worker
—
—
Other
Enumeration date
09/19/2021
Last updated
10/18/2021
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