Provider Demographics
NPI:1427943919
Name:MEJIA, KAREN ANNE (LMFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE
Last Name:MEJIA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANNE
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:772 JAMACHA RD # 234
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-3201
Mailing Address - Country:US
Mailing Address - Phone:619-807-0854
Mailing Address - Fax:
Practice Address - Street 1:5575 LAKE PARK WAY STE 106
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-1674
Practice Address - Country:US
Practice Address - Phone:619-807-0854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111306106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist