Provider Demographics
NPI:1508632381
Name:KARNES, PAMELA J (LPC-ASSOCIATE, LCDC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:KARNES
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:972 PARKVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643-3247
Mailing Address - Country:US
Mailing Address - Phone:817-939-7684
Mailing Address - Fax:
Practice Address - Street 1:505 PECAN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-4060
Practice Address - Country:US
Practice Address - Phone:817-381-6991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11375101YA0400X
TX92086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)