Provider Demographics
NPI:1609187509
Name:KIRSCH, KAREN HARRIETT (CMA, RSMT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:HARRIETT
Last Name:KIRSCH
Suffix:
Gender:F
Credentials:CMA, RSMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 88TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7619
Mailing Address - Country:US
Mailing Address - Phone:360-705-1216
Mailing Address - Fax:
Practice Address - Street 1:1602 88TH AVE SW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98512-7619
Practice Address - Country:US
Practice Address - Phone:360-705-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00050037101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor