Provider Demographics
NPI:1396167169
Name:LINAFELTER, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LINAFELTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 375
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-0375
Mailing Address - Country:US
Mailing Address - Phone:603-757-6423
Mailing Address - Fax:603-719-0716
Practice Address - Street 1:149 HIGH ST APT 2B
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3022
Practice Address - Country:US
Practice Address - Phone:603-757-6423
Practice Address - Fax:603-719-0716
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NH1996101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No174400000XOther Service ProvidersSpecialist