Doctor Name: | KAREN LEE KERSTEN |
NPI Number: | 1629108311 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC LMFT |
License Number: | 2602 |
Business Practice Address: | 864 Olive Street Shreveport, LA - 71104 |
Business Phone Number: | 3182220759 |
Business Fax Number: | 3182210216 |
Mailing Address: | 864 Olive Street, SHREVEPORT |
State: | LA |
Postal Code: | 71104 |
Phone Number: | 3182220759 |
Fax Number: | 3182210216 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2602 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |