KEVIN VITAL

LAFAYETTE, LA
NPI1821455122
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YS0200X Counselor, School
Enumeration Date2016-01-19
Last Update Date2016-01-19
Business Address
-- KEVIN VITAL
108 MERCHANTS BLVD APT 30
LAFAYETTE, LA 70508-3439
Phone number: 337-251-1955
Mailing Address
-- KEVIN VITAL
108 MERCHANTS BLVD APT 30
LAFAYETTE, LA 70508-3439
Phone number: 337-251-1955
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