Provider Demographics
NPI:1225097918
Name:KLEMETSON, KAREN A (PHD, LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:KLEMETSON
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19030 8TH AVE S
Mailing Address - Street 2:LUTHERAN COUNSELING NETWORK
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98148-1937
Mailing Address - Country:US
Mailing Address - Phone:425-271-9711
Mailing Address - Fax:206-241-0369
Practice Address - Street 1:19030 8TH AVE S
Practice Address - Street 2:LUTHERAN COUNSELING NETWORK
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98148-1937
Practice Address - Country:US
Practice Address - Phone:425-271-9711
Practice Address - Fax:206-241-0369
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001470106H00000X
CAMFC32409106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist