Provider Demographics
NPI:1437229432
Name:BURDEN, KARIN (MFT)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:BURDEN
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 1:600 WHITNEY RANCH DR STE D25
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2632
Mailing Address - Country:US
Mailing Address - Phone:702-253-1173
Mailing Address - Fax:
Practice Address - Street 1:600 WHITNEY RANCH DR STE D25
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2632
Practice Address - Country:US
Practice Address - Phone:702-253-1173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1017106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist