Provider Demographics
NPI:1669887402
Name:KERSTEN, LAURA CAROLINE (LADC, LIMHP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:CAROLINE
Last Name:KERSTEN
Suffix:
Gender:F
Credentials:LADC, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-2273
Mailing Address - Country:US
Mailing Address - Phone:402-527-6909
Mailing Address - Fax:
Practice Address - Street 1:1244 MAIN AVE
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2273
Practice Address - Country:US
Practice Address - Phone:402-527-6909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE832101YA0400X
NE1671101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)