Provider Demographics
NPI:1235012170
Name:DOLL, KATHRYN (LAPC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:DOLL
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 E CAPITOL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-2102
Mailing Address - Country:US
Mailing Address - Phone:701-471-7092
Mailing Address - Fax:701-401-0267
Practice Address - Street 1:1605 E CAPITOL AVE STE 100
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-2102
Practice Address - Country:US
Practice Address - Phone:701-471-7092
Practice Address - Fax:701-401-0267
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1472-7-15-25A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional