Individual
DIVYA S KASTURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1007 CAMELLIA BLVD STE I00, LAFAYETTE, LA 70508-7248
(337) 781-6791
Mailing address
1007 CAMELLIA BLVD STE I00, LAFAYETTE, LA 70508-7248
(337) 781-6791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5263
LA
Other
Enumeration date
08/10/2014
Last updated
02/16/2022
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