Individual
KENYA IRVIN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 TURTLE CREEK LN, SAINT ROSE, LA 70087-3824
(504) 462-6561
Mailing address
308 TURTLE CREEK LN, SAINT ROSE, LA 70087-3824
(504) 462-6561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11111
—
LA
Enumeration date
05/30/2017
Last updated
05/30/2017
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