Provider Demographics
NPI:1629490537
Name:BAERTSCH, KARA KATHRYNE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:KATHRYNE
Last Name:BAERTSCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:KATHRYNE
Other - Last Name:LASHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:803 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-3321
Mailing Address - Country:US
Mailing Address - Phone:812-332-1262
Mailing Address - Fax:812-334-8464
Practice Address - Street 1:803 N MONROE ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-3321
Practice Address - Country:US
Practice Address - Phone:812-332-1262
Practice Address - Fax:812-334-8464
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-11
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88000009A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health