| NPI | 1891535969 |
|---|---|
| Former Name | KAYLEN N MANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.192618) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.005085) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-11-04 |