Kara Poole, CMHC

Individual provider Active NPI Mental Health Counselor · Alpine, TX

NPI 1457097057 · NPPES record last updated May 7, 2022

Key facts

NPI
1457097057
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
11528102-6004 (UT)
Practice address
400 N Harrison St
Alpine, TX 79832-8300
Phone
(859) 779-0786
NPI assigned
May 7, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11528102-6004UTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11528102-6004 UT Yes

Addresses

Primary practice location

400 N Harrison St
Alpine, TX 79832-8300

Mailing address

PO Box 6015
Alpine, TX 79832-0001

Other providers in Alpine, TX

All providers in Alpine, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.