Individual
KAYLA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
3015 HIGHWAY 956, ETHEL, LA 70730-4520
(225) 406-1271
Mailing address
1702 FAIRVIEW DR, PORT ALLEN, LA 70767-5881
(225) 406-1271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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