Provider Demographics
NPI:1679027445
Name:SOTO, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 CIVIC CT
Mailing Address - Street 2:STE 200
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5295
Mailing Address - Country:US
Mailing Address - Phone:925-849-3106
Mailing Address - Fax:925-685-0377
Practice Address - Street 1:1450 CIVIC CT
Practice Address - Street 2:STE 200
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5295
Practice Address - Country:US
Practice Address - Phone:925-849-3106
Practice Address - Fax:925-685-0377
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health