Individual
KIMBERLY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4023 AMBASSADOR CAFFERY PKWY STE 507, LAFAYETTE, LA 70503-5268
(337) 284-0820
Mailing address
4023 AMBASSADOR CAFFERY PKWY STE 507, LAFAYETTE, LA 70503-5268
(337) 284-0820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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