Provider Demographics
NPI:1942604087
Name:SCHAAF, MA,LMHC, CHT, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SCHAAF, MA,LMHC, CHT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:SCHAAF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC, CHT
Mailing Address - Street 1:809 LEGION WAY SE
Mailing Address - Street 2:SUITE#303
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-1518
Mailing Address - Country:US
Mailing Address - Phone:360-789-5971
Mailing Address - Fax:360-412-5972
Practice Address - Street 1:809 LEGION WAY SE
Practice Address - Street 2:SUITE#303
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1518
Practice Address - Country:US
Practice Address - Phone:360-789-5971
Practice Address - Fax:360-412-5972
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60135015101YM0800X
WAHP60338760101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional