Provider Demographics
NPI:1871203711
Name:MCLAUGHLIN, KAYLA ANN (LPC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:ANN
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:ANN
Other - Last Name:IANNELLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3602 COLLINS FERRY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2378
Mailing Address - Country:US
Mailing Address - Phone:304-598-6655
Mailing Address - Fax:304-598-6383
Practice Address - Street 1:3602 COLLINS FERRY RD STE 150
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2378
Practice Address - Country:US
Practice Address - Phone:304-598-6655
Practice Address - Fax:304-598-6383
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2740101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional