Provider Demographics
NPI:1104694868
Name:DAGGETT, KAYLA MAE (LPCC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MAE
Last Name:DAGGETT
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:MAE
Other - Last Name:KUHNHENN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:224 N 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4247
Mailing Address - Country:US
Mailing Address - Phone:435-219-1017
Mailing Address - Fax:
Practice Address - Street 1:224 N 55TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4247
Practice Address - Country:US
Practice Address - Phone:435-219-1017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health