MR. EVAN DONALD KARLSON M. COUN.
NPI 1508918020
Counselor in Pocatello, ID
- Individual
- Male
- Counselor
About EVAN KARLSON
This page provides the complete NPI Profile along with additional information for Evan Karlson, a provider established in Pocatello, Idaho with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1508918020 assigned on January 2007. The practitioner's primary taxonomy code is 101Y00000X with license number LCPC-3194 (ID). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1508918020 Verify this NPI
- Provider Name
- MR. EVAN DONALD KARLSON M. COUN.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1169 CALL CREEK PL. SUITE B POCATELLO, ID 83201
- Location Phone
- (208) 232-7780
- Location Fax
- (208) 232-7782
- Mailing Address
- 1169 CALL CREEK PL. SUITE B POCATELLO, ID 83201
- Mailing Phone
- (208) 232-7780
- Mailing Fax
- (208) 232-7782
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-17-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LCPC-3194
- License State
- ID
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508918020, enumerated as an "individual" on January 17, 2007.
The provider is located at 1169 CALL CREEK PL. SUITE B POCATELLO, ID 83201 and the phone number is (208) 232-7780.
Counselor with taxonomy code 101Y00000X.
