Individual
KENNYRA COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6810 JEFFERSON HWY APT 5302, BATON ROUGE, LA 70806-8197
(225) 259-1427
Mailing address
8325 KELWOOD AVE, BATON ROUGE, LA 70806-4804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
008834067
LA
101YP2500X
Professional Counselor
Primary
6807
LA
Other
Enumeration date
10/25/2015
Last updated
08/04/2020
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