Individual provider · Type 1 NPI

Tayla Nicole Koidahl

Counselor · Centralia, WA

NPI number 1760284012 Active

Practice location

2428 W Reynolds Ave
Centralia, WA 98531-4554

Call (360) 330-9044 Map

Fax (360) 736-0689

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61676399 (WA)

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 1760284012

Tayla Nicole Koidahl's National Provider Identifier is 1760284012, issued on Mar 26, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Centralia, WA. The record was last updated on Mar 26, 2025.