Individual
KYLA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3116 N OAK STREET EXT, VALDOSTA, GA 31602-1007
(229) 671-3500
(229) 671-3533
Mailing address
3116 N OAK STREET EXT, VALDOSTA, GA 31602-1007
(229) 671-3500
(229) 671-3533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009413
GA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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