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NPI Code Detail

MEDICARE: KRISTEEN JOANNE LAPLANT YOUNG LPCC, LADC

MEDICARE: KRISTEEN JOANNE LAPLANT YOUNG LPCC, LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TA0400XAddiction (Substance Use Disorder) PsychologistLPC00042MN
2101YA0400XAddiction (Substance Use Disorder) CounselorLADC300693MN
3101YP2500XProfessional CounselorLPCC000214MN

General Provider Information

NPI Number : 1245388875
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEEN JOANNE LAPLANT YOUNG LPCC, LADC
Provider Business Mailing Address
First Line : BOX 555020 BUILDING 1122
Second Line :
City : CAMP PENDLETON
State : CA
Zip : 92055-5020
Country : US
Telephone Number : 760-725-6338
Fax Number : 760-725-0312
Provider Business Practice Location Address
First Line : 11505 36TH AVE N
Second Line :
City : PLYMOUTH
State : MN
Zip : 55441-2304
Country : US
Telephone Number : 763-509-3818
Fax Number : 763-559-0149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 02/14/2019

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