Provider Demographics
NPI:1134958655
Name:ROJAS, KAYLA LYNN (LICSW, CCM, SUDP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:LYNN
Last Name:ROJAS
Suffix:
Gender:F
Credentials:LICSW, CCM, SUDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19611 5TH AVE S
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98148-2421
Mailing Address - Country:US
Mailing Address - Phone:206-898-5432
Mailing Address - Fax:
Practice Address - Street 1:19611 5TH AVE S
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98148-2421
Practice Address - Country:US
Practice Address - Phone:206-898-5432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW614909681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical