Provider Demographics
NPI:1922159672
Name:MOSSHAMMER, KAREN JEAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JEAN
Last Name:MOSSHAMMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:JEAN
Other - Last Name:CATHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4712 ROSE ROCK DRIVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73111-5405
Mailing Address - Country:US
Mailing Address - Phone:405-568-2193
Mailing Address - Fax:918-307-1520
Practice Address - Street 1:5705 NW 132ND STREET
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-4437
Practice Address - Country:US
Practice Address - Phone:405-568-2193
Practice Address - Fax:918-382-7302
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1132101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional