Provider Demographics
NPI:1649630450
Name:KAEMINGK, KARLA MARIE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:MARIE
Last Name:KAEMINGK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:MARIE
Other - Last Name:GELHAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4033 TONGASS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-5526
Mailing Address - Country:US
Mailing Address - Phone:907-821-1543
Mailing Address - Fax:
Practice Address - Street 1:4033 TONGASS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5526
Practice Address - Country:US
Practice Address - Phone:907-821-1543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK105495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist