Provider Demographics
NPI:1679918080
Name:CHANEY, KAREN LYNN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYNN
Last Name:CHANEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:CHANEY-SHEDID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5555 BUSINESS PARK SOUTH
Mailing Address - Street 2:#200
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7841
Mailing Address - Country:US
Mailing Address - Phone:661-325-0670
Mailing Address - Fax:661-748-1878
Practice Address - Street 1:5555 BUSINESS PARK SOUTH
Practice Address - Street 2:#200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7841
Practice Address - Country:US
Practice Address - Phone:661-325-0670
Practice Address - Fax:661-748-1878
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT53239106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist