Individual provider · Type 1 NPI

Ty Kittle

Mental Health Counselor · Shreveport, LA

NPI number 1790227734 Active

Practice location

7400 Glenleaf Rd Lot 168
Shreveport, LA 71129-3718

Call (860) 307-3399 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790227734

Ty Kittle's National Provider Identifier is 1790227734, issued on Nov 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Nov 8, 2016.