Provider Demographics
NPI:1942066790
Name:ROCK, KAYLA GABRIELLE (AMFT 152771)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:GABRIELLE
Last Name:ROCK
Suffix:
Gender:F
Credentials:AMFT 152771
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24015 COPPER HILL DR APT 4301
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-5005
Mailing Address - Country:US
Mailing Address - Phone:661-627-6108
Mailing Address - Fax:
Practice Address - Street 1:14624 SHERMAN WAY STE 404
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2289
Practice Address - Country:US
Practice Address - Phone:818-374-6901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program