Individual
MRS. KIMBERLY JOPLIN MCELROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
303 HICKORY ST, THIBODAUX, LA 70301-2011
(985) 447-0851
Mailing address
303 HICKORY ST, THIBODAUX, LA 70301-2011
(985) 447-0851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1350
LA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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