Individual
KYRIE COMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1965 LIVE OAK BLVD, YUBA CITY, CA 95991-8850
(530) 673-8255
Mailing address
7611 BUTTE HOUSE RD, SUTTER, CA 95982-2142
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
18591
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2021
Last updated
05/05/2026
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