Individual
KAYLA JANAY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 GREENCREST DR, SLIDELL, LA 70458-5108
(504) 303-9074
Mailing address
236 GREENCREST DR, SLIDELL, LA 70458-5108
(504) 303-9074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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