Doctor Name: | CAROLYN N KOHLENBERGER |
NPI Number: | 1124257316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LMHC |
License Number: | C2277 |
Business Practice Address: | 407 N Parkway Ave Battle Ground, WA - 986049156 |
Business Phone Number: | 3605679733 |
Business Fax Number: | 3606664990 |
Mailing Address: | 407 N Parkway Ave, BATTLE GROUND |
State: | WA |
Postal Code: | 986049156 |
Phone Number: | 3605679733 |
Fax Number: | 3606664990 |
NPI Enumeration Date: | 07/08/2009 |
NPI Last Update Date: | 06/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C2277 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |