Individual
KAITLYN JACKSON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. LPC
Contact information
Practice address
1325 WRIGHT AVE STE D, CROWLEY, LA 70526-2226
(337) 514-5181
Mailing address
11418 ASHWOOD CT, DENHAM SPRINGS, LA 70726-6492
(225) 281-9658
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8704
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/10/2020
Last updated
06/05/2024
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