person
Ty Kittle
Mental Health Counselor in Shreveport, Louisiana
NPI 1790227734

Ty Kittle is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Ty Kittle practices in Shreveport, LA. The NPI Number for Ty Kittle is 1790227734 and holds a License No. (Louisiana).

The current practice location address for Ty Kittle is 7400 Glenleaf Rd Lot 168, Shreveport, LA and can be reached out via phone at 860-307-3399.

Location: 7400 Glenleaf Rd Lot 168, Shreveport, LA, 71129-3718
person
Provider Profile Details
NPI Number
1790227734
Provider Name
Ty Kittle
Credential
Provider Entity Type
Individual
Gender
Male
Address
7400 Glenleaf Rd Lot 168, Shreveport, LA, 71129-3718
Phone Number
860-307-3399
Fax Number
Provider Enumeration Date
11/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7400 Glenleaf Rd Lot 168
City
State
Zip
71129-3718
Phone Number
860-307-3399
Fax Number
person
Provider Business Mailing Address Details
Address
7400 Glenleaf Rd Lot 168
City
State
Zip
71129-3718
Phone Number
860-307-3399
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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