Jacques Kyanza Kyagilo Sr.
Jacques Kyanza Kyagilo Sr. is a Pastoral Counselor in Shaker Heights, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
19220 Van Aken Blvd Apt 303Shaker Heights, OH 44122-3557
Phone: (832) 258-7367
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Specialties & licences
| Pastoral Counselor (primary) | Taxonomy 101YP1600X |
|---|
Record details
| NPI number | 1659002939 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2022 |
| Last updated in NPPES | June 18, 2022 |
| Certification date | June 18, 2022 |
| Mailing address | 19220 Van Aken Blvd Apt 303, Shaker Heights, OH 44122-3557 |
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