Individual
KAYLA MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 W BROWN DEER RD, BROWN DEER, WI 53209-1220
(414) 540-2170
Mailing address
100 CORRINA BLVD APT 109, WAUKESHA, WI 53186-3889
(608) 772-4746
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10057-125
WI
101YP2500X
Professional Counselor
—
WI
Other
Enumeration date
06/16/2020
Last updated
10/11/2024
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