Individual
MRS. KRISTY LASHAWN DANDRIDGE-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
29437 HIGHWAY 63, STE. 14, LIVINGSTON, LA 70754-7075
(225) 283-1356
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-1310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6147
STATE OF LOUISIANA LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS
LA
Enumeration date
09/22/2015
Last updated
03/09/2020
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