Provider Demographics
NPI:1073633947
Name:ANDERSON, KAREN D (MA, LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MA, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4495 HALE PKWY
Mailing Address - Street 2:SUITE 340
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-6210
Mailing Address - Country:US
Mailing Address - Phone:303-394-4144
Mailing Address - Fax:
Practice Address - Street 1:4495 HALE PKWY
Practice Address - Street 2:SUITE 340
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-6210
Practice Address - Country:US
Practice Address - Phone:303-394-4144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO583106H00000X
CO2793101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional