Provider Demographics
NPI:1790180685
Name:KIMBALL, KAREN A (LCMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:KIMBALL
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMFT
Mailing Address - Street 1:128 POWDER MILL RD
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:NH
Mailing Address - Zip Code:03809-4933
Mailing Address - Country:US
Mailing Address - Phone:603-213-8722
Mailing Address - Fax:
Practice Address - Street 1:40 BEACON ST E
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3437
Practice Address - Country:US
Practice Address - Phone:603-524-1100
Practice Address - Fax:603-524-6000
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH209106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist