Provider Demographics
NPI:1821492364
Name:TREUEL, KAYLYN (LMHC)
Entity Type:Individual
Prefix:
First Name:KAYLYN
Middle Name:
Last Name:TREUEL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12538 ASH HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-5632
Mailing Address - Country:US
Mailing Address - Phone:906-361-2023
Mailing Address - Fax:
Practice Address - Street 1:12538 ASH HARBOR DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-5632
Practice Address - Country:US
Practice Address - Phone:906-361-2023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health