Provider Demographics
NPI:1184853517
Name:ISRAEL, KAREN RAY (MED, LPC, BCPC)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:RAY
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:MED, LPC, BCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17760 PRESTON RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5663
Mailing Address - Country:US
Mailing Address - Phone:972-567-5000
Mailing Address - Fax:
Practice Address - Street 1:17760 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5663
Practice Address - Country:US
Practice Address - Phone:972-567-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18120101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional