Provider Demographics
NPI:1619615671
Name:KALLEN-BROWN, KAREN ENID (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ENID
Last Name:KALLEN-BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:KALLEN-BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:122 FIRST AVENUE
Mailing Address - Street 2:TANANA CHIEFS CONFERENCE BEHAVIORAL HEALTH SUITE 400
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701
Mailing Address - Country:US
Mailing Address - Phone:907-452-8251
Mailing Address - Fax:907-459-3810
Practice Address - Street 1:C/O TCC 122 FIRST AVENUE
Practice Address - Street 2:SUITE 400
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701
Practice Address - Country:US
Practice Address - Phone:907-452-8251
Practice Address - Fax:907-459-3810
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK185236101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor