Provider Demographics
NPI:1427487479
Name:HUDSON, KARA JO (LPC)
Entity type:Individual
Prefix:MS
First Name:KARA
Middle Name:JO
Last Name:HUDSON
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 1:204 10TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-3832
Mailing Address - Country:US
Mailing Address - Phone:208-466-2229
Mailing Address - Fax:208-466-2667
Practice Address - Street 1:1305 S KIMBALL AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-4542
Practice Address - Country:US
Practice Address - Phone:208-459-1039
Practice Address - Fax:208-466-2667
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-09
Last Update Date:2013-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC5408101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health