Provider Demographics
NPI:1861860447
Name:STARK-GARRETT, KAREN (LMFT)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:STARK-GARRETT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PHD
Mailing Address - Street 1:2212 F ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3828
Mailing Address - Country:US
Mailing Address - Phone:661-706-8508
Mailing Address - Fax:661-325-2031
Practice Address - Street 1:2212 F ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3828
Practice Address - Country:US
Practice Address - Phone:661-706-8508
Practice Address - Fax:661-735-8226
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-12
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120212106H00000X, 106H00000X
CA210007572101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool