Provider Demographics
NPI:1376904912
Name:LARKIN PACKWOOD, KAREN (LMHC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LARKIN PACKWOOD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 N TIMBERLANE RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037-5001
Mailing Address - Country:US
Mailing Address - Phone:509-951-2210
Mailing Address - Fax:
Practice Address - Street 1:19603 E ELLIE MAE LN
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99016-5379
Practice Address - Country:US
Practice Address - Phone:509-951-2210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHCLH60231558101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health