Individual
DR. KAYLA MENNENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1675 N FREEDOM BLVD STE 10B, PROVO, UT 84604-6906
(801) 900-6056
Mailing address
1675 N FREEDOM BLVD STE 10B, PROVO, UT 84604-6906
(801) 900-6056
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG 60501892
WA
Other
Enumeration date
07/21/2016
Last updated
05/19/2022
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