Provider Demographics
NPI:1518024884
Name:ELA, KAREN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:ELA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:ELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:402 AMHERST ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1240
Mailing Address - Country:US
Mailing Address - Phone:603-598-3804
Mailing Address - Fax:603-577-3801
Practice Address - Street 1:402 AMHERST ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1240
Practice Address - Country:US
Practice Address - Phone:603-598-3804
Practice Address - Fax:603-577-3801
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health