Charisma Lamanda Kyles, LADC

NPI #1811778186 in South Saint Paul, Minnesota

Provider Information

NPI Number: 1811778186
Entity Type: Individual
Name: Charisma Lamanda Kyles, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Oct 11, 2023
Last Updated: Oct 11, 2023

Practice Location

Address: 633 CONCORD ST N
City: South Saint Paul
State: Minnesota
ZIP Code: 55075-1114
Phone: (763) 600-1476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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