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Individual

MR. JARRED KYLE M STA ANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2780 SKYPARK DR STE 410, TORRANCE, CA 90505-7519
(833) 223-8326
Mailing address
2780 SKYPARK DR STE 410, TORRANCE, CA 90505-7519
(833) 223-8326

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
5894
CA
103TF0000X
Family Psychologist
Primary
1234
CA
103TS0200X
School Psychologist
987456A
CA

Other

Enumeration date
11/06/2025
Last updated
11/06/2025
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