Provider Demographics
NPI:1528702412
Name:CANIGLIA, KAYLEIGH CRISTINA (LPC)
Entity type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:CRISTINA
Last Name:CANIGLIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11610 VANCE JACKSON RD APT 1106
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1836
Mailing Address - Country:US
Mailing Address - Phone:210-929-2531
Mailing Address - Fax:
Practice Address - Street 1:11610 VANCE JACKSON RD APT 1106
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1836
Practice Address - Country:US
Practice Address - Phone:210-929-2531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional