Kyla Broeker Witt, MA, LPC
Counselor, Professional in Troy, MO. Individual provider (NPI-1).
NPI number1295874584
StatusActive
Last updated in NPPESDec 30, 2024
Details
- NPI
- 1295874584
- Entity type
- Individual (NPI-1)
- Name
- Kyla Broeker Witt
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2007
- Certification date
- Dec 30, 2024
- Last updated
- Dec 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2002010834 | MO | Yes |
Practice location
47 Ellis AveTroy, MO 63379-1151
Phone 636-357-1996
Mailing address
47 Ellis AveTroy, MO 63379-1151
Phone 636-357-1996
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