Provider Demographics
NPI:1134132509
Name:COUNSELING & CONSULTING: KAREN ROBERTSON, PC
Entity Type:Organization
Organization Name:COUNSELING & CONSULTING: KAREN ROBERTSON, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:307-742-4273
Mailing Address - Street 1:1050 N 3RD ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-2543
Mailing Address - Country:US
Mailing Address - Phone:307-742-4273
Mailing Address - Fax:307-745-8845
Practice Address - Street 1:1050 N. 3RD ST.
Practice Address - Street 2:SUITE G
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82072-2543
Practice Address - Country:US
Practice Address - Phone:307-742-4273
Practice Address - Fax:307-745-8845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC 388101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty