Individual
KAYLA MARIE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
4814 SIX FORKS RD STE 202, RALEIGH, NC 27609-5246
(919) 410-7858
Mailing address
10820 BROADVIEW DR APT 201, RALEIGH, NC 27617-8258
(984) 296-1975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A20335
NC
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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