Healthcare Provider Details

I. General information

NPI: 1750932166
Provider Name (Legal Business Name): KAREN JEAN CAHOY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1338 W FOREST MEADOWS ST STE 140
FLAGSTAFF AZ
86001-7226
US

IV. Provider business mailing address

333 N DOBSON RD STE 15
CHANDLER AZ
85224-4412
US

V. Phone/Fax

Practice location:
  • Phone: 928-212-8621
  • Fax:
Mailing address:
  • Phone: 480-282-8336
  • Fax: 480-282-8365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-18382
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: