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Kayla Brown-Wilson, CRM

Counselor, Addiction (Substance Use Disorder) in Klamath Falls, OR. Individual provider (NPI-1).

NPI number1376010348
StatusActive
Last updated in NPPESOct 21, 2020

Details

NPI
1376010348
Entity type
Individual (NPI-1)
Name
Kayla Brown-Wilson
Credential
CRM
Sex
Female
Sole proprietor
No
Enumeration date
Oct 29, 2018
Certification date
Oct 21, 2020
Last updated
Oct 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)18-CRM-196ORYes

Practice location

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Phone 541-883-1030

Mailing address

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Phone 541-883-1030

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