Provider Demographics
NPI:1033752241
Name:KARBAN, HOLLY DAWN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:DAWN
Last Name:KARBAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:MRS
Other - First Name:HOLLY
Other - Middle Name:DAWN
Other - Last Name:KARBAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HOLLY KARBAN MS, LPC
Mailing Address - Street 1:131 N LUDLOW ST STE 258
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1148
Mailing Address - Country:US
Mailing Address - Phone:937-681-8138
Mailing Address - Fax:
Practice Address - Street 1:131 N LUDLOW ST STE 258
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1148
Practice Address - Country:US
Practice Address - Phone:937-681-8138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1200193101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor