Most Relevant Information
Provider Data
| NPI Number: | 1003326190 |
| Provider Name: | KAYLA-ANN HAWLEY LSWAIC, SUDP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CP61332430 |
Most Important Dates
| Enumeration Date: | 10/03/2017 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
7105 NE 40TH ST
VANCOUVER
WA
986613058
Practice Location Phone/Fax
| Phone: | 3609933000 |
| Fax: |
Provider Mailing Location
PO BOX 1845
VANCOUVER
WA
986681845
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |