Provider Demographics
NPI:1639840358
Name:KAUFMAN, KAREN ANNE (LMFT84727)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LMFT84727
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3527 MT DIABLO BLVD # 243
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3815
Mailing Address - Country:US
Mailing Address - Phone:510-680-3418
Mailing Address - Fax:
Practice Address - Street 1:5776 STONERIDGE MALL RD STE 376
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2867
Practice Address - Country:US
Practice Address - Phone:925-272-4100
Practice Address - Fax:925-272-4102
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84727106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty