Provider Demographics
NPI:1669899597
Name:HALL, KAREN A (LPC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:HALL
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 1:1092 EASTLAND DR N
Mailing Address - Street 2:SUITE C AND D
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-8442
Mailing Address - Country:US
Mailing Address - Phone:208-736-0695
Mailing Address - Fax:
Practice Address - Street 1:1092 EASTLAND DR N
Practice Address - Street 2:SUITE C AND D
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-8442
Practice Address - Country:US
Practice Address - Phone:208-736-0695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-5483101YP2500X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool