Provider Demographics
NPI:1174025431
Name:ENGELHARD, KAREN (LPCA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ENGELHARD
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 KNIGHTSBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3413
Mailing Address - Country:US
Mailing Address - Phone:434-962-4436
Mailing Address - Fax:
Practice Address - Street 1:10 KNIGHTSBRIDGE CT
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3413
Practice Address - Country:US
Practice Address - Phone:434-962-4436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional