Provider Demographics
NPI:1295058014
Name:KARIS, JOHN E (LBP)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:E
Last Name:KARIS
Suffix:
Gender:M
Credentials:LBP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11701 HOLLYROCK CT
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6566
Mailing Address - Country:US
Mailing Address - Phone:405-234-0369
Mailing Address - Fax:405-494-7300
Practice Address - Street 1:11701 HOLLYROCK CT
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6566
Practice Address - Country:US
Practice Address - Phone:405-234-0369
Practice Address - Fax:405-494-7300
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK322101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional