Individual provider · Type 1 NPI
Kayla Thiessen, LAC
Professional Counselor · Glenwood, NJ
NPI number
1912898198
Active
Practice location
15 Vlietstra Dr
Glenwood, NJ 07418-1606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37AC00867900 (NJ) |
Professional Counselor: Definition to come...
Other professional counselor providers in Glenwood
About NPI 1912898198
Kayla Thiessen, LAC's National Provider Identifier is 1912898198, issued on Jul 14, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glenwood, NJ. The record was last updated on Jul 14, 2025.