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General NPI Number Information
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NPI Number | 1659266930
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Entity Type | Individual
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Provider Name | KAYLA RICO PLPC, M.A.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1500 LAFAYETTE ST STE 118
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City | GRETNA
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State | LA
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Zip | 70053-5732
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Country | US
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Telephone | 504-276-5268
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Fax |
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Provider Business Mailing Address
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Address Line | 829 AVENUE B
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City | WESTWEGO
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State | LA
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Zip | 70094-4216
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Country | US
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Telephone | 504-202-1005
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PLC10661
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License Number State | LA
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