Individual
KAYLA D. HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 FLOYD PARK DR STE 4, RUSTON, LA 71270-6631
(318) 406-9080
Mailing address
126 GODCHAUX DR, RUSTON, LA 71270-7442
(919) 725-0805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC10281
LA
101YM0800X
Mental Health Counselor
PLC10281
LA
Other
Enumeration date
02/05/2025
Last updated
02/06/2025
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