Individual
SAMANTHA KLINGENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, PLPC
Contact information
Practice address
3825 GILBERT DR STE 106, SHREVEPORT, LA 71104-5000
(918) 978-7287
Mailing address
3825 GILBERT DR STE 106, SHREVEPORT, LA 71104-5000
(918) 978-7287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-5151
LA
101YM0800X
Mental Health Counselor
PLC10048
LA
Other
Enumeration date
12/19/2019
Last updated
10/01/2025
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