Individual provider · Type 1 NPI

Kyrenda Petty

Professional Counselor · Shreveport, LA

NPI number 1659153278 Active

Practice location

2020 E 70th St Ste 201
Shreveport, LA 71105-5332

Call (318) 751-9098 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1659153278

Kyrenda Petty's National Provider Identifier is 1659153278, issued on Oct 18, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Oct 18, 2023.