Provider Demographics
NPI:1922234814
Name:CHEN, KARIANNE (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KARIANNE
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19782 MACARTHUR BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2452
Mailing Address - Country:US
Mailing Address - Phone:949-212-7518
Mailing Address - Fax:
Practice Address - Street 1:19782 MACARTHUR BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2452
Practice Address - Country:US
Practice Address - Phone:949-212-7518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 44804106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist