Provider Demographics
NPI:1073810602
Name:GUTHERLESS, KAREN L (LIMHP, CPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:L
Last Name:GUTHERLESS
Suffix:
Gender:F
Credentials:LIMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W WALKER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-7837
Mailing Address - Country:US
Mailing Address - Phone:308-530-3622
Mailing Address - Fax:888-308-5743
Practice Address - Street 1:401 W WALKER RD
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-7837
Practice Address - Country:US
Practice Address - Phone:308-221-2533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4020101YM0800X
NE1984101YP2500X
NE1780101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE20-4296059OtherTIN