Individual
KATHRYN PFLIPSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, CCS
Contact information
Practice address
2116 N BOLTON AVE, ALEXANDRIA, LA 71303-4405
(318) 445-1250
Mailing address
920 TWIN BRIDGES RD APT 47, ALEXANDRIA, LA 71303-2071
(318) 452-4526
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1811543838
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18811543838
—
LA
Enumeration date
09/21/2021
Last updated
09/21/2021
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