Provider Demographics
NPI:1184856650
Name:YAHR, KARIN LYNN (LCPC)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:LYNN
Last Name:YAHR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:KARIN
Other - Middle Name:LYNN-YAHR
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:PO BOX 190357
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83719-0357
Mailing Address - Country:US
Mailing Address - Phone:208-412-7846
Mailing Address - Fax:
Practice Address - Street 1:1020 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-5400
Practice Address - Country:US
Practice Address - Phone:208-412-7846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4253101Y00000X
IDLCPC-5077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDLCPC-5077OtherIBOL
IDLPC-4253OtherLICENSED PROFESSIONAL COUNSELOR