Provider Demographics
NPI:1861404469
Name:KAELBER, KARA A (M A ED, LPCC-S)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:A
Last Name:KAELBER
Suffix:
Gender:F
Credentials:M A ED, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 CLEVELAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-3309
Mailing Address - Country:US
Mailing Address - Phone:330-456-9214
Mailing Address - Fax:330-456-9251
Practice Address - Street 1:2705 CLEVELAND AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-3309
Practice Address - Country:US
Practice Address - Phone:330-456-9214
Practice Address - Fax:330-456-9251
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC700/ OHIO PC101YM0800X
OHE4011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional