KYLIE LORRAINE DUTY

SAN JOSE, CA
NPI1942724562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  131608)
Additional Taxonomies101YM0800X Counselor, Mental Health
106S00000X Behavior Technician
(Licence: CA  RBT-18-69573)
Enumeration Date2017-07-26
Last Update Date2022-03-15
Business Address
KYLIE LORRAINE DUTY MFT
3162 NEWBERRY DR STE 10
SAN JOSE, CA 95118-1567
Phone number: 408-826-4828
Mailing Address
KYLIE LORRAINE DUTY MFT
840 GUADALUPE PKWY
SAN JOSE, CA 95110-1714
Phone number: