Individual
KAYLA CHEYENNE GRAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, CPRS
Contact information
Practice address
1173 E LANDIS AVE, VINELAND, NJ 08360-4213
(856) 513-5367
Mailing address
1173 E LANDIS AVE, VINELAND, NJ 08360-4213
(856) 513-5367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CPRS-50023
NJ
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/19/2020
Last updated
12/22/2022
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