Provider Demographics
NPI:1780035865
Name:VAN'ES, KAREN THERESA (MHC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:THERESA
Last Name:VAN'ES
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5809 BERTA CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1112
Mailing Address - Country:US
Mailing Address - Phone:850-541-6787
Mailing Address - Fax:
Practice Address - Street 1:5809 BERTA CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-1112
Practice Address - Country:US
Practice Address - Phone:850-541-6787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health