| Doctor Name: | KYLA GIFFORD |
| NPI Number: | 1407177298 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 1614 |
| Business Practice Address: | 439 Breeze St Ste 200 Craig, CO - 816252650 |
| Business Phone Number: | 9708246541 |
| Business Fax Number: | 9708240313 |
| Mailing Address: | Po Box 40, GLENWOOD SPRINGS |
| State: | CO |
| Postal Code: | 816020040 |
| Phone Number: | 9709452241 |
| Fax Number: | 9709455523 |
| NPI Enumeration Date: | 06/16/2010 |
| NPI Last Update Date: | 07/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1614 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |