Provider Demographics
NPI:1255471298
Name:STRONG, KAREN RENEE (PLPC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:RENEE
Last Name:STRONG
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 DUCHESS CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-1305
Mailing Address - Country:US
Mailing Address - Phone:314-882-7585
Mailing Address - Fax:314-830-2082
Practice Address - Street 1:161 DUCHESS CT.
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63034
Practice Address - Country:US
Practice Address - Phone:314-882-7585
Practice Address - Fax:314-830-2082
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006038673101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional