Individual
KYLE HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
3270 KERNER BLVD STE B, SAN RAFAEL, CA 94901
(415) 473-6648
(415) 473-6762
Mailing address
203 FLAMINGO RD STE 114, MILL VALLEY, CA 94941-3603
(415) 234-3922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC5158
CA
Other
Enumeration date
10/12/2016
Last updated
04/23/2024
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