Most Relevant Information
Provider Data
| NPI Number: | 1003361932 |
| Provider Name: | KAYLA AYNE POLLARD |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/21/2016 |
| Last Updated: | 08/21/2016 |
Provider Practice Location
1950 2ND ST APT J101
SPRINGFIELD
OR
974777116
Practice Location Phone/Fax
| Phone: | 5415141996 |
| Fax: |
Provider Mailing Location
1950 2ND ST APT J101
SPRINGFIELD
OR
974777116
Provider Mailing Phone/Fax
| Phone: | 5415141996 |
| Fax: |