Individual provider · Type 1 NPI
Kayla Suann Petty
Mental Health Counselor · Idaho Falls, ID
NPI number
1689432759
Active
Practice location
4688 E Majestic View Dr
Idaho Falls, ID 83406-8180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | COUI-10305 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1689432759
Kayla Suann Petty's National Provider Identifier is 1689432759, issued on Mar 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 12, 2024.