Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor |
NPI | 1003302464 |
---|---|
Provider Name | Kayla Chaney |
First Address | Chillicothe, OH 45601-0188 |
Second Address | Coolville, OH 45723-8153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2018 |
Last Update Date | 01/10/2020 |