Provider Demographics
NPI:1679908586
Name:KNAPP, CAROLINE (LMFT, LPCC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:KNAPP
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 CAMINO TORCIDO LOOP
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-4341
Mailing Address - Country:US
Mailing Address - Phone:415-938-7528
Mailing Address - Fax:
Practice Address - Street 1:49 CAMINO TORCIDO LOOP
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-4341
Practice Address - Country:US
Practice Address - Phone:415-938-7528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105656106H00000X
NM0212451101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist