Provider Demographics
NPI:1134315161
Name:TOKLE, HAROLD RAYMOND JR (LMFT)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:RAYMOND
Last Name:TOKLE
Suffix:JR
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 AG WAY
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40484-1461
Mailing Address - Country:US
Mailing Address - Phone:859-321-7990
Mailing Address - Fax:606-365-8380
Practice Address - Street 1:104 AG WAY
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:KY
Practice Address - Zip Code:40484-1461
Practice Address - Country:US
Practice Address - Phone:859-321-7990
Practice Address - Fax:606-365-8380
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY#0479106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist