Individual provider · Type 1 NPI

Kayla Tenniel Wilson I

Mental Health Counselor · Boston, MA

NPI number 1336022888 Active

Practice location

895 Blue Hill Ave
Boston, MA 02124-2902

Mailing address

20 Banks St
Cambridge, MA 02138-6079

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1336022888

Kayla Tenniel Wilson I's National Provider Identifier is 1336022888, issued on Jul 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Jul 30, 2025.