Provider Demographics
NPI:1003363508
Name:LANSING, KAREN (LMFT, BCETS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LANSING
Suffix:
Gender:F
Credentials:LMFT, BCETS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 VALENCIA AVE. STE 7
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003
Mailing Address - Country:US
Mailing Address - Phone:831-234-3365
Mailing Address - Fax:831-688-1718
Practice Address - Street 1:3060 VALENCIA AVE STE 7
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4165
Practice Address - Country:US
Practice Address - Phone:831-234-3365
Practice Address - Fax:831-688-1718
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32626106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist