Individual
MS. KERI KISTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, NCSC
Contact information
Practice address
35086 OLD LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0556
(225) 667-4195
Mailing address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-4335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5596
LA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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