Jacques Kyanza Kyagilo SR.
NPI #1659002939 in Shaker Heights, Ohio
Provider Information
- NPI Number
- 1659002939
- Entity Type
- Individual
- Name
- Jacques Kyanza Kyagilo SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Pastoral
- Enumeration Date
- Jun 18, 2022
- Last Updated
- Jun 18, 2022
Practice Location
- Address
- 19220 VAN AKEN BLVD APT 303
- City
- Shaker Heights
- State
- Ohio
- ZIP Code
- 44122-3557
- Phone
- (832) 258-7367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Pastoral — Pastoral |
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