KATHLEEN EAGLE LPC
NPI 1902355167
Counselor - Professional in Homer, AK
Active since September 29, 2016
About Kathleen Eagle Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN EAGLE LPC (NPI 1902355167) is an individual professional provider in Homer, Alaska, licensed in Alaska (113119) and active in the NPI registry since September 2016.
NPPES Registry Identity
NPI1902355167
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN EAGLECredential: LPC
Location Address1276 BELUGA CTHomer, AK 99603-7730
Mailing Address1276 Beluga CtHomer, AK 99603-7730 · (907) 435-7823
Phone(907) 435-7823
Sole ProprietorNo
Enumeration DateSeptember 29, 2016
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1902355167 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AK · 113119
1276 BELUGA CT, Homer, AK 99603
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902355167, enumerated as an "individual" on September 29, 2016.
The provider is located at 1276 BELUGA CT HOMER, AK 99603 and the phone number is (907) 435-7823.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
