Individual
KAYLA BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 WESTERN AVE, WATERVLIET, NY 12189-1638
(315) 530-7522
Mailing address
11 WESTERN AVE, WATERVLIET, NY 12189-1638
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
016809
NY
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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