Healthcare Provider Details

I. General information

NPI: 1861623225
Provider Name (Legal Business Name): KAREN M TOERNE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 01/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 N 6TH ST STE 315
BOISE ID
83702-6046
US

IV. Provider business mailing address

223 N 6TH ST STE 315
BOISE ID
83702-6046
US

V. Phone/Fax

Practice location:
  • Phone: 208-916-0806
  • Fax:
Mailing address:
  • Phone: 208-916-0806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC-5772
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: