Provider Demographics
NPI:1114740008
Name:HOSKINS, CARLA K (LCPC CANDIDATE)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:K
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:LCPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 4TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:ST.ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-2823
Mailing Address - Country:US
Mailing Address - Phone:304-590-5770
Mailing Address - Fax:
Practice Address - Street 1:314 N. LAST CHANCE GULCH
Practice Address - Street 2:#306
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5062
Practice Address - Country:US
Practice Address - Phone:406-209-8268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-PCLC-LIC-72845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health