Tanya (Kai) Qualls's National Provider Identifier (NPI) Details
Tanya (Kai) Qualls, LPC
NPI: 1497320089
Enumeration Date: 2021-05-25
Last updated: 2021-05-25
Sole Proprietor: NO
Status: active
Postal Address: 113 W WAYNE AVE, WAYNE, PA
Phone: 610-687-6415
Primary Practice Address: 113 W WAYNE AVE, WAYNE, PA
Practice's phone: 610-687-6415