Provider Demographics
NPI:1114140787
Name:SCARBROUGH, KAREN ANN (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:KAREN
Middle Name:ANN
Last Name:SCARBROUGH
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 ROBERTA LN
Mailing Address - Street 2:SUITE 101A#2
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1894
Mailing Address - Country:US
Mailing Address - Phone:775-250-5508
Mailing Address - Fax:
Practice Address - Street 1:975 ROBERTA LN
Practice Address - Street 2:SUITE 101A#2
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-1894
Practice Address - Country:US
Practice Address - Phone:775-250-5508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0733170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS