Provider Demographics
NPI:1700933652
Name:EBERSOHN, KARIN ALETTA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:ALETTA
Last Name:EBERSOHN
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 1:417 QUAIL CV
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2462
Mailing Address - Country:US
Mailing Address - Phone:318-664-8294
Mailing Address - Fax:318-561-0156
Practice Address - Street 1:3921 INDEPENDENCE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3551
Practice Address - Country:US
Practice Address - Phone:318-561-0155
Practice Address - Fax:318-561-0156
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional