Provider Demographics
NPI:1558735787
Name:CHAMBERLIN, KARLA (LPC)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:CHAMBERLIN
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 1:501 LOUISIANA ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71052-2621
Mailing Address - Country:US
Mailing Address - Phone:318-872-2081
Mailing Address - Fax:318-872-2082
Practice Address - Street 1:501 LOUISIANA ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:LA
Practice Address - Zip Code:71052-2621
Practice Address - Country:US
Practice Address - Phone:318-872-2081
Practice Address - Fax:318-872-2082
Is Sole Proprietor?:No
Enumeration Date:2015-11-27
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4524101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional