Provider Demographics
NPI:1477979177
Name:STEFANO, KAREN RHEA (EDM, MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:RHEA
Last Name:STEFANO
Suffix:
Gender:F
Credentials:EDM, MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HOMEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-5191
Mailing Address - Country:US
Mailing Address - Phone:304-728-6757
Mailing Address - Fax:
Practice Address - Street 1:25 HOMEWOOD CT
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-5191
Practice Address - Country:US
Practice Address - Phone:304-728-6757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1319101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional