Provider Demographics
NPI:1184779498
Name:YORK, KAREN RITLAND (MED)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:RITLAND
Last Name:YORK
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:ELAINE
Other - Last Name:YORK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:2215 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2899
Mailing Address - Country:US
Mailing Address - Phone:360-734-9600
Mailing Address - Fax:360-734-2555
Practice Address - Street 1:2215 ELM ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2899
Practice Address - Country:US
Practice Address - Phone:360-734-9600
Practice Address - Fax:360-734-2555
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003973101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health