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Individual

ADDISON C ASCHBACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
3018 OLD MINDEN RD STE 1200, BOSSIER CITY, LA 71112-2476
(318) 224-7223
Mailing address
901 DALZELL ST APT A, SHREVEPORT, LA 71104-2164
(817) 320-1314

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10919
LA
106S00000X
Behavior Technician
R-15622
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30779613
LA
01
RBT-24-334618
BACB
Enumeration date
05/01/2025
Last updated
04/29/2026
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