Provider Demographics
NPI:1497352769
Name:MCCAIN, KAREN GENELL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:GENELL
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 ROSWELL RD STE 12
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8827
Mailing Address - Country:US
Mailing Address - Phone:404-798-5409
Mailing Address - Fax:
Practice Address - Street 1:3535 ROSWELL RD STE 12
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8827
Practice Address - Country:US
Practice Address - Phone:404-798-5409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010703101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health