Individual provider · Type 1 NPI

Kyle W. Jolly I

Counselor · Los Angeles, CA

NPI number 1164553202 Active

Practice location

541 N Sycamore Ave
Los Angeles, CA 90036-2000

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.

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About NPI 1164553202

Kyle W. Jolly I's National Provider Identifier is 1164553202, issued on Mar 8, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.