Individual
KAYLA R BARCKLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
400 VIRGINIA AVE, NORTH BEND, OR 97459-3477
(541) 751-0357
Mailing address
400 VIRGINIA AVE, NORTH BEND, OR 97459-3477
(541) 751-0357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
23-08-10850
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669886
ODL
OR
Enumeration date
03/01/2021
Last updated
10/21/2024
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