Provider Demographics
NPI:1154096865
Name:KAYLA DUESLER MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:KAYLA DUESLER MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUESLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:518-774-7896
Mailing Address - Street 1:865 BULLS HEAD RD
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-7601
Mailing Address - Country:US
Mailing Address - Phone:518-774-7896
Mailing Address - Fax:
Practice Address - Street 1:865 BULLS HEAD RD
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-7601
Practice Address - Country:US
Practice Address - Phone:518-774-7896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty