Provider Demographics
NPI:1861623225
Name:TOERNE, KAREN M (LCPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:TOERNE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 N 6TH ST STE 315
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-6046
Mailing Address - Country:US
Mailing Address - Phone:208-916-0806
Mailing Address - Fax:
Practice Address - Street 1:223 N 6TH ST STE 315
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-6046
Practice Address - Country:US
Practice Address - Phone:208-916-0806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-5772101YP2500X
103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool