Provider Demographics
NPI:1275595324
Name:HAINES, KAREN A (LCMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:HAINES
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 LOCUST ST STE 6
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3765
Mailing Address - Country:US
Mailing Address - Phone:603-957-1608
Mailing Address - Fax:603-743-3533
Practice Address - Street 1:86 LOCUST ST STE 6
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3765
Practice Address - Country:US
Practice Address - Phone:603-957-1608
Practice Address - Fax:603-743-3533
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH441101YM0800X, 101YM0800X
MECC2539101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor