Provider Demographics
NPI:1043544315
Name:KARRES, KAREN LALIA (LMSW, LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LALIA
Last Name:KARRES
Suffix:
Gender:F
Credentials:LMSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 S MAPLE ST # 104
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3445
Mailing Address - Country:US
Mailing Address - Phone:509-319-6972
Mailing Address - Fax:509-352-5647
Practice Address - Street 1:628 S MAPLE ST # 104
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3445
Practice Address - Country:US
Practice Address - Phone:509-319-6972
Practice Address - Fax:509-352-5647
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-19
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW605024201041C0700X
IDLCSW335081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical