Individual
MRS. KAYLA ZITO VICKNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1016 HOUMA ST, HOUMA, LA 70360-4420
(985) 873-8683
(985) 873-2597
Mailing address
155 LAKE MACLAINE DR, THIBODAUX, LA 70301-1631
(225) 485-2185
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
5044
LA
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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