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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.