Individual
KAYLA BRISSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 W MCKINLEY ST APT 1205B, BATON ROUGE, LA 70802-7748
(504) 223-6277
Mailing address
650 W MCKINLEY ST APT 1205B, BATON ROUGE, LA 70802-7748
(504) 223-6277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
01/24/2017
Last updated
01/24/2017
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