Provider Demographics
NPI:1114225034
Name:SEGAL, KAREN ALICE (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ALICE
Last Name:SEGAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3271 LYNN RIDGE DR
Mailing Address - Street 2:APT 1H
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-8945
Mailing Address - Country:US
Mailing Address - Phone:518-788-7103
Mailing Address - Fax:
Practice Address - Street 1:3271 LYNN RIDGE DR
Practice Address - Street 2:APT 1H
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-8945
Practice Address - Country:US
Practice Address - Phone:518-788-7103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional