Provider Demographics
NPI:1528361102
Name:ANDERSON, KARI LYNN (MS LMHC)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:ROCK VALLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51247-0070
Mailing Address - Country:US
Mailing Address - Phone:712-476-3281
Mailing Address - Fax:712-476-2970
Practice Address - Street 1:3726 450TH AVE
Practice Address - Street 2:
Practice Address - City:EMMETSBURG
Practice Address - State:IA
Practice Address - Zip Code:50536-8584
Practice Address - Country:US
Practice Address - Phone:712-852-3101
Practice Address - Fax:712-852-3100
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001363101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor