Individual
KRISTIN COLLEEN CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-LMHC, LPCC
Contact information
Practice address
115 HOUSTON AVE, PARIS, KY 40361-1623
(360) 880-3501
Mailing address
115 HOUSTON AVE, PARIS, KY 40361-1623
(360) 880-3501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60340312
WA
Other
Enumeration date
06/27/2011
Last updated
08/27/2020
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