Provider Demographics
NPI:1861644411
Name:POEHLMAN, KAREN KRISTINE (LCPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KRISTINE
Last Name:POEHLMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BAYLAND DR
Mailing Address - Street 2:UNITL
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-4274
Mailing Address - Country:US
Mailing Address - Phone:410-322-4907
Mailing Address - Fax:
Practice Address - Street 1:1716 HARFORD RD
Practice Address - Street 2:SUITE 204
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2643
Practice Address - Country:US
Practice Address - Phone:410-877-7207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2933101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD416015100Medicaid