Provider Demographics
NPI:1275202475
Name:MCCARTHY, KAREN FRANCES (MA, LLPC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:FRANCES
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MA, LLPC
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 1655
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49685-1655
Mailing Address - Country:US
Mailing Address - Phone:231-715-1166
Mailing Address - Fax:
Practice Address - Street 1:1212 VETERANS DR STE 205
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-4734
Practice Address - Country:US
Practice Address - Phone:231-715-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451019729101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health