Provider Demographics
NPI:1316678378
Name:LEHN, KAROLYN KOKKO
Entity type:Individual
Prefix:
First Name:KAROLYN
Middle Name:KOKKO
Last Name:LEHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1979 HICKORY RIDGE CT S
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-1059
Mailing Address - Country:US
Mailing Address - Phone:408-623-6844
Mailing Address - Fax:
Practice Address - Street 1:1979 HICKORY RIDGE CT S
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-1059
Practice Address - Country:US
Practice Address - Phone:408-623-6844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty