Provider Demographics
NPI:1164731220
Name:KIRSCH, KAREN L (LMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:KIRSCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3141
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-0030
Mailing Address - Country:US
Mailing Address - Phone:206-714-3803
Mailing Address - Fax:844-602-4602
Practice Address - Street 1:320 DAYTON ST STE 106
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3591
Practice Address - Country:US
Practice Address - Phone:206-714-3803
Practice Address - Fax:844-602-4602
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60467459101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health