Provider Demographics
NPI:1144762386
Name:LUBBERS, KAREN (MFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LUBBERS
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 1:2656 29TH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2902
Mailing Address - Country:US
Mailing Address - Phone:310-452-7799
Mailing Address - Fax:
Practice Address - Street 1:2656 29TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-2902
Practice Address - Country:US
Practice Address - Phone:310-452-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist