Most Relevant Information
Provider Data
| NPI Number: | 1003267121 |
| Provider Name: | KAYLA ELIZABETH POULSON MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0016834 |
Most Important Dates
| Enumeration Date: | 06/30/2016 |
| Last Updated: | 10/25/2023 |
Provider Practice Location
425 W MULBERRY ST STE 101
FORT COLLINS
CO
805212864
Practice Location Phone/Fax
| Phone: | 9705302887 |
| Fax: |
Provider Mailing Location
1300 N 17TH AVE
GREELEY
CO
806319584
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |