Individual
KAYLA LUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 528-0123
(401) 528-0124
Mailing address
340 SHARON ST, PROVIDENCE, RI 02908-2219
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MHC01099
RI
Other
Enumeration date
10/06/2015
Last updated
11/03/2019
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