Provider Demographics
NPI:1093970188
Name:SWENSON, KAREN MARIE (MFT)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MARIE
Last Name:SWENSON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 GOUGH ST
Mailing Address - Street 2:APT. 12 L
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-6562
Mailing Address - Country:US
Mailing Address - Phone:415-441-2931
Mailing Address - Fax:415-441-2931
Practice Address - Street 1:1333 GOUGH ST
Practice Address - Street 2:APT. 12 L
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6562
Practice Address - Country:US
Practice Address - Phone:415-441-2931
Practice Address - Fax:415-441-2931
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMJ19189106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist