Individual
KAYLA LYNN BOURBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1060 TIOGUE AVE UNIT 2, COVENTRY, RI 02816-6114
(401) 293-8023
(401) 340-1546
Mailing address
1060 TIOGUE AVE UNIT 2, COVENTRY, RI 02816-6114
(401) 293-8023
(401) 340-1546
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
04/07/2026
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