Individual
KYLA CLARABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM60797671
Contact information
Practice address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2470A2800X
Assistant Health Information Record Technician
Primary
—
WA
2470A2800X
Assistant Health Information Record Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
10/26/2018
Last updated
10/26/2018
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