Individual provider · Type 1 NPI

Kayla Tanner

Counselor · Russellville, AR

NPI number 1740650597 Active

Practice location

110 Skyline Dr
Russellville, AR 72801-3362

Fax (479) 890-5364

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 1740650597

Kayla Tanner's National Provider Identifier is 1740650597, issued on Oct 5, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Russellville, AR. The record was last updated on Oct 5, 2015.