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NPI Code Detail

MEDICARE: KAYLA TIA SARAE BARROS-MATHENEY

MEDICARE: KAYLA TIA SARAE BARROS-MATHENEY
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 : 1194587246
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA TIA SARAE BARROS-MATHENEY
Provider Business Mailing Address
First Line : 210 N ROGERS ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-4265
Country : US
Telephone Number : 541-810-9101
Fax Number :
Provider Business Practice Location Address
First Line : 3815 S 6TH ST STE 108
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-4758
Country : US
Telephone Number : 541-205-6750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2024
Last Update Date : 01/24/2024

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Directions to “ KAYLA TIA SARAE BARROS-MATHENEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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