Charisma Lamanda Kyles, LADC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · South Saint Paul, MN
- NPI
- 1811778186
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 306769 (MN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2023-10-11
- Last updated
- 2023-10-11
Practice location
633 Concord St N
South Saint Paul, MN 55075-1114
(763) 600-1476