Doctor Name: | MRS. KAREN J BLOODWORTH |
NPI Number: | 1336175280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,NCC,LPC |
License Number: | 33 |
Business Practice Address: | 9523 Jefferson Hwy Ste C River Ridge, LA - 701232523 |
Business Phone Number: | 5048876009 |
Business Fax Number: | 5043051577 |
Mailing Address: | 9523 Jefferson Hwy Ste C, RIVER RIDGE |
State: | LA |
Postal Code: | 701232523 |
Phone Number: | 5048876009 |
Fax Number: | 5043051577 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |