Individual
KISHA DONIELLE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 SAINT LANDRY ST STE 2C, LAFAYETTE, LA 70506-3578
(337) 716-5170
Mailing address
1604 DEHART DR APT A, NEW IBERIA, LA 70560-7063
(850) 212-8852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10432
LA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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