Individual
KAYLA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
BLDG 2516 22ND ST., FT. CAMPBELL, KY 42223-5650
(270) 798-0900
Mailing address
BLDG 2516 22ND ST., FT. CAMPBELL, KY 42223-5650
(270) 798-0900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2990
TN
Other
Enumeration date
09/24/2013
Last updated
12/19/2013
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