Individual
KURISTEN VENTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4873 JEFFERSON AVE, BATON ROUGE, LA 70802-1031
(225) 324-9582
Mailing address
4873 JEFFERSON AVE, BATON ROUGE, LA 70802
(225) 324-9582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7464
LA
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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