Provider Demographics
NPI:1003976085
Name:COFFIELD, KAREN SUE (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:COFFIELD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:SUE
Other - Last Name:MCCOMBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:RD #1
Mailing Address - Street 2:BOX 344
Mailing Address - City:MOUNDSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26041
Mailing Address - Country:US
Mailing Address - Phone:304-845-8655
Mailing Address - Fax:304-234-3511
Practice Address - Street 1:10 ASH AVE
Practice Address - Street 2:
Practice Address - City:MOUNDSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26041-1318
Practice Address - Country:US
Practice Address - Phone:304-845-3000
Practice Address - Fax:304-234-3511
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1203101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor