Provider Demographics
NPI:1023512498
Name:BOEHLER, KAREN (CDCA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BOEHLER
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11155 CENTENNIAL AVE
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-1903
Mailing Address - Country:US
Mailing Address - Phone:412-992-1657
Mailing Address - Fax:
Practice Address - Street 1:11155 CENTENNIAL AVE
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-1903
Practice Address - Country:US
Practice Address - Phone:412-992-1657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-21
Last Update Date:2019-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH169913101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)