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NPI Code Detail

MEDICARE: REBECCA ANNE KYLE

MEDICARE: REBECCA ANNE KYLE
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 Counselor

General Provider Information

NPI Number : 1942995873
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANNE KYLE
Provider Business Mailing Address
First Line : 2630 W RUMBLE RD
Second Line :
City : MODESTO
State : CA
Zip : 95350-0155
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 560 COHASSET RD STE 100
Second Line :
City : CHICO
State : CA
Zip : 95926-2490
Country : US
Telephone Number : 530-891-3277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2023
Last Update Date : 11/20/2024

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Directions to “ REBECCA ANNE KYLE ” Practice Location

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