Kyle Vincent Conneally
NPI #1104432871 in San Pedro, California
Provider Information
- NPI Number
- 1104432871
- Entity Type
- Individual
- Name
- Kyle Vincent Conneally
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 18, 2020
- Last Updated
- Sep 18, 2020
Practice Location
- Address
- 1003 S BEACON ST
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-4324
- Phone
- (310) 514-4940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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