Individual
NYLA GUTEKUNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 INNWOOD DR STE A, COVINGTON, LA 70433-9255
(985) 789-8599
(985) 792-3105
Mailing address
100 INNWOOD DR STE A, COVINGTON, LA 70433-9255
(985) 789-8599
(985) 792-3105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
72487
TX
101YP2500X
Professional Counselor
Primary
7543
LA
Other
Enumeration date
09/06/2016
Last updated
05/14/2024
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