Healthcare Provider Details

I. General information

NPI: 1255634200
Provider Name (Legal Business Name): KARI R HAUGEN LCPC, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2010
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CAMPUS DR
FREEPORT ME
04033-3190
US

IV. Provider business mailing address

100 GANNETT DR STE C
SOUTH PORTLAND ME
04106-5900
US

V. Phone/Fax

Practice location:
  • Phone: 207-523-8550
  • Fax:
Mailing address:
  • Phone: 207-347-2947
  • Fax: 207-874-2317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberXL3540
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number00110438
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: