Provider Demographics
NPI:1891890729
Name:DOIRON, KAREN LISE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LISE
Last Name:DOIRON
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 1:405 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-3419
Mailing Address - Country:US
Mailing Address - Phone:203-755-0270
Mailing Address - Fax:203-755-5791
Practice Address - Street 1:405 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3419
Practice Address - Country:US
Practice Address - Phone:203-755-0270
Practice Address - Fax:203-755-5791
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001531101YP2500X
CT101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool