Provider Demographics
NPI:1396024022
Name:LAMB, KAREN (NMD, LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:NMD, LPC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:BRIDGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NMD, LPC
Mailing Address - Street 1:4300 N MILLER RD STE 135
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3620
Mailing Address - Country:US
Mailing Address - Phone:480-719-0606
Mailing Address - Fax:
Practice Address - Street 1:4300 N MILLER RD STE 135
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3620
Practice Address - Country:US
Practice Address - Phone:480-719-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LPC-12926101YM0800X
AZLPC-12926101YP2500X
AZ11-1256175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional