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Kyla Provazza, BS
Addiction (Substance Use Disorder) Counselor in Somersworth, New Hampshire
NPI 1457139222

Kyla Provazza is an Addiction (Substance Use Disorder) Counselor based in Dover, NH and is specialized in Addiction (Substance Use Disorder). Kyla Provazza practices in Somersworth, NH and has the professional credentials of BS. The NPI Number for Kyla Provazza is 1457139222 and holds a License No. (New Hampshire).

The current practice location address for Kyla Provazza is 200 Route 108 # 108, Somersworth, NH and can be reached out via phone at 603-953-0077.

Location: 200 Route 108 # 108, Somersworth, NH, 03820-3070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457139222
Provider Name
Kyla Provazza
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
200 Route 108 # 108, Somersworth, NH, 03820-3070
Phone Number
603-953-0077
Fax Number
Provider Enumeration Date
09/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Route 108 # 108
City
Somersworth
State
New Hampshire
Zip
03878-1119
Phone Number
603-953-0077
Fax Number
person
Provider Business Mailing Address Details
Address
200 Route 108 # 108
City
Somersworth
State
New Hampshire
Zip
03878-1119
Phone Number
603-953-0077
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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