Individual
ALTORIA KIRUNDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2448 JOHNSTON ST STE B, LAFAYETTE, LA 70503-2756
(337) 233-7250
Mailing address
2448 JOHNSTON ST STE B, LAFAYETTE, LA 70503-2756
(337) 233-7250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992922736
—
LA
Enumeration date
01/18/2018
Last updated
01/18/2018
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