Individual provider · Type 1 NPI

Kayla Marie Antes

Mental Health Counselor · San Leandro, CA

NPI number 1457907503 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Social Worker 104100000X92239 (CA)
Mental Health Counselor Primary 101YM0800X92239 (CA)

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About NPI 1457907503

Kayla Marie Antes's National Provider Identifier is 1457907503, issued on Aug 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Oct 8, 2019.