Individual
KAYLA MICHELLE RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
509 BARRET AVE, LOUISVILLE, KY 40204
(502) 485-0722
(502) 485-0792
Mailing address
8151 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4685
(502) 400-2369
(502) 473-1070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
242126
KY
101YP2500X
Professional Counselor
Primary
242126
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100336210
—
KY
Enumeration date
10/28/2015
Last updated
07/16/2019
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