Provider Demographics
NPI:1639051980
Name:SALISBURY, KAYLA DAWNE
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:DAWNE
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 291
Mailing Address - Street 2:
Mailing Address - City:WHITE BIRD
Mailing Address - State:ID
Mailing Address - Zip Code:83554-0271
Mailing Address - Country:US
Mailing Address - Phone:208-553-2445
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 291
Practice Address - Street 2:
Practice Address - City:WHITE BIRD
Practice Address - State:ID
Practice Address - Zip Code:83554-0271
Practice Address - Country:US
Practice Address - Phone:208-553-2445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor