Kalvin Dehart
Counselor, Professional in Thibodaux, LA. Individual provider (NPI-1).
NPI number1982198693
StatusActive
Last updated in NPPESAug 8, 2022
Details
- NPI
- 1982198693
- Entity type
- Individual (NPI-1)
- Name
- Kalvin Dehart
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2018
- Certification date
- Aug 8, 2022
- Last updated
- Aug 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6296 | LA | Yes |
| 101YM0800X | Counselor, Mental Health | 6296 | LA |
Practice location
163 Essence AveThibodaux, LA 70301-5900
Phone 985-860-4908
Mailing address
163 Essence AveThibodaux, LA 70301-5900
Phone 985-860-4908
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