Individual
KYLIE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
601 W NIFONG BLVD, COLUMBIA, MO 65203-6804
(573) 416-0454
Mailing address
5556 SWEETGUM CIR, COLUMBIA, MO 65202-5637
(660) 998-4733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020038332
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2019
Last updated
04/03/2024
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