Individual
KENNETH DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 KABEL DR, NEW ORLEANS, LA 70131-6926
(504) 994-0085
Mailing address
3420 KABEL DR, NEW ORLEANS, LA 70131-6926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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