Provider Demographics
NPI:1669800694
Name:ENGLUND, KAREN BETH (MFT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:BETH
Last Name:ENGLUND
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:BETH
Other - Last Name:SYME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:141 LA CUESTA RD
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2328
Mailing Address - Country:US
Mailing Address - Phone:925-934-8018
Mailing Address - Fax:
Practice Address - Street 1:141 LA CUESTA RD
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2328
Practice Address - Country:US
Practice Address - Phone:925-934-8018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 20678106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist