Provider Demographics
NPI:1245388875
Name:LAPLANT YOUNG, KRISTEEN JOANNE (LPCC, LADC)
Entity Type:Individual
Prefix:
First Name:KRISTEEN
Middle Name:JOANNE
Last Name:LAPLANT YOUNG
Suffix:
Gender:F
Credentials:LPCC, LADC
Other - Prefix:
Other - First Name:KRISTEEN
Other - Middle Name:JOANNE
Other - Last Name:LAPLANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LADC
Mailing Address - Street 1:BOX 555020 BUILDING 1122
Mailing Address - Street 2:
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5020
Mailing Address - Country:US
Mailing Address - Phone:760-725-6338
Mailing Address - Fax:760-725-0312
Practice Address - Street 1:11505 36TH AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2304
Practice Address - Country:US
Practice Address - Phone:763-509-3818
Practice Address - Fax:763-559-0149
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLPC00042103TA0400X
MNLADC300693101YA0400X
MNLPCC000214101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)