Individual
DR. KYLIE RAE GORE-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, MS, LP, LPC-S
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
157795
AK
103T00000X
Psychologist
Primary
210008
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2017
Last updated
12/06/2024
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