Individual
KEVIN VITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 MERCHANTS BLVD APT 30, LAFAYETTE, LA 70508-3439
(337) 251-1955
Mailing address
108 MERCHANTS BLVD APT 30, LAFAYETTE, LA 70508-3439
(337) 251-1955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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