Provider Demographics
NPI:1740484203
Name:CARR, KAREN SUE (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:CARR
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RESOURCE MANAGEMENT
Mailing Address - Street 2:1300 HOPPE BLVD., SUITE 1
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820
Mailing Address - Country:US
Mailing Address - Phone:580-436-7211
Mailing Address - Fax:580-272-5757
Practice Address - Street 1:OUTPATIENT SERVICES-KINGSTON; 12998 VILLAGE RD.
Practice Address - Street 2:STRONG FAMILY DEVELOPMENT:
Practice Address - City:KINGSTON
Practice Address - State:OK
Practice Address - Zip Code:74820
Practice Address - Country:US
Practice Address - Phone:580-564-3060
Practice Address - Fax:580-564-3605
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
OK3096101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health