Provider Demographics
NPI:1255412219
Name:VARMA, KAREN (MFT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:VARMA
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:NORMA
Other - Last Name:FELDBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5250 CLAREMONT AVE
Mailing Address - Street 2:SUITE 235
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5700
Mailing Address - Country:US
Mailing Address - Phone:209-472-3677
Mailing Address - Fax:209-472-3450
Practice Address - Street 1:5250 CLAREMONT AVE
Practice Address - Street 2:SUITE 235
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5700
Practice Address - Country:US
Practice Address - Phone:209-472-3677
Practice Address - Fax:209-472-3450
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24692106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist