KAITLYN ALICE FORMHALS

MONROE, LA
NPI1821985748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: LA  PLM1596)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: LA  PLC10782)
Enumeration Date2025-06-23
Last Update Date2025-06-23
Business Address
KAITLYN ALICE FORMHALS MA, PLPC, PLMFT
1105 HUDSON LN
MONROE, LA 71201-6003
Phone number: 318-322-6500
Mailing Address
KAITLYN ALICE FORMHALS MA, PLPC, PLMFT
314 CEDARBROOK DR
MONROE, LA 71203-2986
Phone number: 406-261-7060