Provider Demographics
NPI:1275756074
Name:CONTRERAS, KAREN LYNNE (MFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNNE
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 AGUAJITO RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4887
Mailing Address - Country:US
Mailing Address - Phone:831-647-7652
Mailing Address - Fax:831-647-7940
Practice Address - Street 1:1200 AGUAJITO RD
Practice Address - Street 2:SUITE 103
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4887
Practice Address - Country:US
Practice Address - Phone:831-647-7652
Practice Address - Fax:831-647-7940
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49755106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist