Provider Demographics
NPI:1558699322
Name:COUPE, KAREN ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:COUPE
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 1:1051 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE 11A
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-2167
Mailing Address - Country:US
Mailing Address - Phone:201-923-8951
Mailing Address - Fax:973-427-4589
Practice Address - Street 1:1051 BLOOMFIELD AVE
Practice Address - Street 2:SUITE 11A
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-2167
Practice Address - Country:US
Practice Address - Phone:201-923-8951
Practice Address - Fax:973-427-4589
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-06
Last Update Date:2009-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00081300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional