Provider Demographics
NPI:1437608833
Name:KOHN, CAROLE TAYLOR (LPC)
Entity Type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:TAYLOR
Last Name:KOHN
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:PO BOX 885
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-0885
Mailing Address - Country:US
Mailing Address - Phone:541-512-2569
Mailing Address - Fax:
Practice Address - Street 1:420 WILLIAMSON WAY
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1251
Practice Address - Country:US
Practice Address - Phone:541-512-2569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC0450101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional