Individual
KABRINA TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
850 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508-4230
(337) 234-7109
Mailing address
850 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508-4230
(337) 234-7109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467745000
NPI
LA
Enumeration date
05/24/2016
Last updated
12/12/2018
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