Provider Demographics
NPI:1447852272
Name:KARSTEN, KELLI (LPC)
Entity type:Individual
Prefix:MRS
First Name:KELLI
Middle Name:
Last Name:KARSTEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 YAKIMA ST S
Mailing Address - Street 2:
Mailing Address - City:VALE
Mailing Address - State:OR
Mailing Address - Zip Code:97918-1478
Mailing Address - Country:US
Mailing Address - Phone:541-903-2492
Mailing Address - Fax:
Practice Address - Street 1:695 2ND AVE S
Practice Address - Street 2:
Practice Address - City:PAYETTE
Practice Address - State:ID
Practice Address - Zip Code:83661-2801
Practice Address - Country:US
Practice Address - Phone:458-285-9636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-8675101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional