Individual
KAYLA ASHLEE MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
455 W SULLIVAN ST APT 220, KINGSPORT, TN 37660-3670
(931) 265-2468
Mailing address
1106 W SULLIVAN ST, KINGSPORT, TN 37660-3133
(931) 265-2468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
007734
NY
101Y00000X
Counselor
4352
TN
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
04/01/2025
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