Individual
KAYLA MCCONDICHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 TENNYSON ST, DENVER, CO 80212-3029
(415) 803-9416
Mailing address
2950 TENNYSON ST, DENVER, CO 80212-3029
(415) 803-9416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
90180
CA
1041C0700X
Clinical Social Worker
Primary
09931471
CO
1041C0700X
Clinical Social Worker
90180
CA
1041C0700X
Clinical Social Worker
LCSW122284
CA
Other
Enumeration date
08/09/2021
Last updated
09/11/2025
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