Kristin Page Brewton, LAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Natchitoches, LA

NPI 1750737698 · NPPES record last updated May 10, 2016

Key facts

NPI
1750737698
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1561 (LA)
Practice address
830 4TH St
Natchitoches, LA 71457-4569
Phone
(318) 214-4002
Fax
(318) 214-4004
NPI assigned
May 10, 2016
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

LicenseStateTypeSpecialty
1561LAMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1561 LA Yes

Addresses

Primary practice location

830 4TH St
Natchitoches, LA 71457-4569

Mailing address

PO Box 2453
Natchitoches, LA 71457-2453
Phone (318) 214-4002

Other providers in Natchitoches, LA

All providers in Natchitoches, LA · Addiction (Substance Use Disorder) Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.