Individual
KAYLA MARIE ANN HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
18 MARQUIS DR, HUNTINGTON, WV 25705-3713
(304) 633-7359
Mailing address
18 MARQUIS DR, HUNTINGTON, WV 25705-3713
(304) 633-7359
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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