Individual
KAYLA F HULSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1128 BEVILLE RD STE A, DAYTONA BEACH, FL 32114-5769
(386) 267-3161
Mailing address
175 MIDDLE ST UNIT 1201, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/20/2017
Last updated
03/06/2019
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