Provider Demographics
NPI:1780823708
Name:SALINE, KAREN ELIZABETH (LMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:SALINE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 CHAPMAN DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4914
Mailing Address - Country:US
Mailing Address - Phone:850-215-6230
Mailing Address - Fax:850-215-6235
Practice Address - Street 1:2680 CHAPMAN DR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4914
Practice Address - Country:US
Practice Address - Phone:850-215-6230
Practice Address - Fax:850-215-6235
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-14
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9763101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health