Katherine D Bolls
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bossier City, LA
NPI 1225601719 · NPPES record last updated Jul 21, 2021
Key facts
- NPI
- 1225601719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CIT5326 (LA)
- Practice address
- 1505 Doctors Dr
Bossier City, LA 71111-3321 - Phone
- (318) 584-7133
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CIT5326 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CIT5326 | LA | Yes |
Addresses
Primary practice location
1505 Doctors Dr
Bossier City, LA 71111-3321
Mailing address
1505 Doctors Dr
Bossier City, LA 71111-3321
Phone (318) 584-7133
Other providers in Bossier City, LA
- Abigail Davis Bogan
- Peter Bryan Boggs
- Shamarie Bolden
- Jackie Boling
- William A. Bolinger
- Jennifer Jenkins Bonar
- April Bonner
- Blaine Alan Bonnett
- Xavier Bonyfield
- Brittany Ariel Boone
All providers in Bossier City, LA · Addiction (Substance Use Disorder) Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.