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NPI Code Detail

MEDICARE: KAYLEIGH EMRY

MEDICARE: KAYLEIGH EMRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLMFT96739CA
2106H00000XMarriage & Family TherapistIMF78104CA
3106H00000XMarriage & Family TherapistLMFT96739CA

General Provider Information

NPI Number : 1740608900
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEIGH EMRY
Provider Business Mailing Address
First Line : 2332 MAPLE LN
Second Line :
City : EUREKA
State : CA
Zip : 95501-3313
Country : US
Telephone Number : 707-496-8306
Fax Number :
Provider Business Practice Location Address
First Line : 770 10TH ST
Second Line :
City : ARCATA
State : CA
Zip : 95521-6210
Country : US
Telephone Number : 707-825-7588
Fax Number : 707-825-8203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2014
Last Update Date : 06/12/2026

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Directions to “ KAYLEIGH EMRY ” Practice Location

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