Individual
KAYLA LOIS FARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
S78W20363 PASADENA DR, MUSKEGO, WI 53150-8138
(262) 344-4529
Mailing address
S78W20363 PASADENA DR, MUSKEGO, WI 53150-8138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11180-125
WI
101YP2500X
Professional Counselor
LPCC14250
CA
106H00000X
Marriage & Family Therapist
LMFT136983
CA
Other
Enumeration date
04/07/2019
Last updated
11/11/2024
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