person
Kayla Suann Petty
Mental Health Counselor in Idaho Falls, Idaho
NPI 1689432759

Kayla Suann Petty is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Kayla Suann Petty practices in Idaho Falls, ID. The NPI Number for Kayla Suann Petty is 1689432759 and holds a License No. COUI-10305 (Idaho).

The current practice location address for Kayla Suann Petty is 4688 E Majestic View Dr, Idaho Falls, ID and can be reached out via phone at 580-522-1119.

Location: 4688 E Majestic View Dr, Idaho Falls, ID, 83406-8180
person
Provider Profile Details
NPI Number
1689432759
Provider Name
Kayla Suann Petty
Credential
Provider Entity Type
Individual
Gender
Female
Address
4688 E Majestic View Dr, Idaho Falls, ID, 83406-8180
Phone Number
580-522-1119
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4688 E Majestic View Dr
City
State
Zip
83406-8180
Phone Number
580-522-1119
Fax Number
person
Provider Business Mailing Address Details
Address
4688 E Majestic View Dr
City
State
Zip
83406-8180
Phone Number
580-522-1119
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
COUI-10305 (Idaho)
Definition
Definition to come...
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