Individual
KAYLA S FANGUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
4540 AMBASSADOR CAFFERY PKWY, BLDG. D, SUITE B-220, LAFAYETTE, LA 70508-6928
(337) 981-2180
(337) 981-2391
Mailing address
4540 AMBASSADOR CAFFERY PKWY, BLDG. D, SUITE B-220, LAFAYETTE, LA 70508-6928
(337) 981-2180
(337) 981-2391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3986
LA
106H00000X
Marriage & Family Therapist
Primary
1129
LA
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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