Individual provider · Type 1 NPI

Kyle Blaylock, ACSW

Counselor · Eureka, CA

NPI number 1487133609 Active

Practice location

2259 Myrtle Ave
Eureka, CA 95501-3325

Fax (707) 444-8298

Other practice locations

  • 3960 Walnut Dr, Eureka, CA 95503 · (707) 268-8722
  • 720 Wood St, Eureka, CA 95501-4413 · (530) 693-8040

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X100601 (CA)

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 1487133609

Kyle Blaylock, ACSW's National Provider Identifier is 1487133609, issued on Aug 8, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Eureka, CA. The record was last updated on Nov 14, 2022.