Provider Demographics
NPI:1679641187
Name:HARRISON, KAREN KATHLEEN (LCPC, LCMFT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:KATHLEEN
Last Name:HARRISON
Suffix:
Gender:F
Credentials:LCPC, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 STATE LINE RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2025
Mailing Address - Country:US
Mailing Address - Phone:816-523-4440
Mailing Address - Fax:816-523-8782
Practice Address - Street 1:8301 STATE LINE RD
Practice Address - Street 2:SUITE 216
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2025
Practice Address - Country:US
Practice Address - Phone:816-523-4440
Practice Address - Fax:816-523-8782
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001778101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional