Individual
KRISTEN MOREAU DUBROC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 625-7050
Mailing address
2048 FUGLAAR DR, PINEVILLE, LA 71360-3416
(254) 495-5214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3546372
26352671726
—
Enumeration date
03/10/2021
Last updated
11/30/2022
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