Doctor Name: | MISS KAYLA ROSE SPANGLER |
NPI Number: | 1285930552 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 105 Nw First St. Coupeville, WA - 982393578 |
Business Phone Number: | 3604218919 |
Business Fax Number: | |
Mailing Address: | Po Box 3810, EVERETT |
State: | WA |
Postal Code: | 982138810 |
Phone Number: | 3604218919 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2011 |
NPI Last Update Date: | 02/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |