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General NPI Number Information
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NPI Number | 1245388875
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Entity Type | Individual
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Provider Name | KRISTEEN JOANNE LAPLANT YOUNG LPCC, LADC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 11505 36TH AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55441-2304
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Country | US
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Telephone | 763-509-3818
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Fax | 763-559-0149
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Provider Business Mailing Address
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Address Line | BOX 555020 BUILDING 1122
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City | CAMP PENDLETON
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State | CA
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Zip | 92055-5020
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Country | US
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Telephone | 760-725-6338
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Fax | 760-725-0312
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | LPC00042
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LADC300693
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC000214
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License Number State | MN
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