Provider Demographics
NPI:1043900293
Name:DURHAM, KAREN (LCSW)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:DURHAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 W MAIN ST # 1035
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-2221
Mailing Address - Country:US
Mailing Address - Phone:405-901-1793
Mailing Address - Fax:405-351-4247
Practice Address - Street 1:629 W MAIN ST # 1035
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-2221
Practice Address - Country:US
Practice Address - Phone:405-901-1793
Practice Address - Fax:405-351-4247
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK69651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical