Provider Demographics
NPI:1275619579
Name:FURU, KAREN (LCPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FURU
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 S 20TH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-6824
Mailing Address - Country:US
Mailing Address - Phone:406-586-1023
Mailing Address - Fax:
Practice Address - Street 1:716 S 20TH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6824
Practice Address - Country:US
Practice Address - Phone:406-586-1023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCPC232101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT250497Medicaid
MT76410OtherBCBS NUMBER