Provider Demographics
NPI:1427812544
Name:JOINER, KAYLA (SWC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:JOINER
Suffix:
Gender:F
Credentials:SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 LOAFERS LN
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-8710
Mailing Address - Country:US
Mailing Address - Phone:719-351-9582
Mailing Address - Fax:
Practice Address - Street 1:509 SCOTT AVE STE 100
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-1293
Practice Address - Country:US
Practice Address - Phone:719-286-9086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSWC00000017431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical