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General NPI Number Information
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NPI Number | 1063346336
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Entity Type | Individual
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Provider Name | KAYLA MARIE GOIN QMHP-T, CSAC-S
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Gender | Female
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 1555 MEADOWVIEW DR STE 5&6
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City | DANVILLE
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State | VA
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Zip | 24541-7351
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Country | US
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Telephone | 877-848-9810
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Fax |
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Provider Business Mailing Address
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Address Line | 785 APPLEWOOD RD
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City | MARTINSVILLE
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State | VA
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Zip | 24112-7475
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Country | US
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Telephone | 276-224-8976
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | VA
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