Provider Demographics
NPI:1275899270
Name:KARIM, NANCY E (LPC - ATR)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:KARIM
Suffix:
Gender:F
Credentials:LPC - ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SHERMAN CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5852
Mailing Address - Country:US
Mailing Address - Phone:203-689-7301
Mailing Address - Fax:
Practice Address - Street 1:39 SHERMAN CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5852
Practice Address - Country:US
Practice Address - Phone:203-689-7301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2885101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional