Individual provider · Type 1 NPI

Kevin Killacky Ii

Counselor · San Diego, CA

NPI number 1003771338 Active

Practice location

2120 San Diego Ave
San Diego, CA 92110-2901

Call (619) 574-6225 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

17 other providers at this address

Other counselor providers in San Diego

See all in San Diego →

About NPI 1003771338

Kevin Killacky Ii's National Provider Identifier is 1003771338, issued on Dec 18, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Dec 18, 2025.