Provider Demographics
NPI:1558076612
Name:HONKALA, KARIN MICHELLE (LMSW)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:MICHELLE
Last Name:HONKALA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CHELLEY
Other - Middle Name:
Other - Last Name:HONKALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:12136 MIDDLE FORK PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3424
Mailing Address - Country:US
Mailing Address - Phone:719-659-3372
Mailing Address - Fax:
Practice Address - Street 1:12136 MIDDLE FORK PL
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-3424
Practice Address - Country:US
Practice Address - Phone:719-659-3372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109547101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health