NPI Profile for JOHANNA KYLE in GAINESVILLE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Art Therapist |
221700000X | |||
Counselor |
101Y00000X |
| NPI # | 1770288409 |
|
| Status | Active | |
| Credentials | MA, LPC, ATR | |
| Entity | Individual | |
| Enumeration date | 04/03/2023 | |
| Last updated | 05/28/2026 - About 2 weeks ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOHANNA KYLE
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