Provider Demographics
NPI:1902953623
Name:HEUGLY, KARA LYNN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LYNN
Last Name:HEUGLY
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 1:70 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-2804
Mailing Address - Country:US
Mailing Address - Phone:435-637-0171
Mailing Address - Fax:435-637-1265
Practice Address - Street 1:70 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-2804
Practice Address - Country:US
Practice Address - Phone:435-637-0171
Practice Address - Fax:435-637-1265
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5744320-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional