Individual
KAYLA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6435 E BROAD ST, COLUMBUS, OH 43213-1507
(614) 355-8160
(614) 355-8180
Mailing address
DPET 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1500152
OH
390200000X
Student in an Organized Health Care Education/Training Program
NOT LICENSED
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
04/23/2015
Last updated
02/11/2016
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