Individual
KAYETLYN LEEANNE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
543 STONER AVE, SHREVEPORT, LA 71101-4122
(318) 673-9901
Mailing address
5517 ASBURY LN, SHREVEPORT, LA 71129-2712
(318) 510-8592
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8595
LA
Other
Enumeration date
09/09/2021
Last updated
07/09/2025
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