Provider Demographics
NPI:1649416900
Name:MARTIN, KAREN SUE (PLPC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:SUE
Other - Last Name:TAUBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-0127
Mailing Address - Country:US
Mailing Address - Phone:660-864-1001
Mailing Address - Fax:
Practice Address - Street 1:118 HOUT ST
Practice Address - Street 2:SUITE A1
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-1710
Practice Address - Country:US
Practice Address - Phone:660-747-2241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008035083101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional