Provider Demographics
NPI:1790135846
Name:WILHITE, KAREN RENEE (MSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:RENEE
Last Name:WILHITE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CENTRAL AVE
Mailing Address - Street 2:SUITE 290
Mailing Address - City:COOS BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97420-2316
Mailing Address - Country:US
Mailing Address - Phone:541-267-2113
Mailing Address - Fax:541-267-5071
Practice Address - Street 1:125 CENTRAL AVE
Practice Address - Street 2:SUITE 290
Practice Address - City:COOS BAY
Practice Address - State:OR
Practice Address - Zip Code:97420-2316
Practice Address - Country:US
Practice Address - Phone:541-267-2113
Practice Address - Fax:541-267-5071
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health