Provider Demographics
NPI:1407535701
Name:CRAMER, KAREN (LPC, LCDC, NCC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CRAMER
Suffix:
Gender:F
Credentials:LPC, LCDC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 TIMBERWOOD DR UNIT 57
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-8552
Mailing Address - Country:US
Mailing Address - Phone:469-360-5728
Mailing Address - Fax:
Practice Address - Street 1:2502 TIMBERWOOD DR UNIT 57
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-8552
Practice Address - Country:US
Practice Address - Phone:469-360-5728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14129101YA0400X
TX78307101YP2500X
CO0018363101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)