Provider Demographics
NPI:1740824671
Name:DABLIZ, KARIM (MS, NCC)
Entity type:Individual
Prefix:
First Name:KARIM
Middle Name:
Last Name:DABLIZ
Suffix:
Gender:M
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 SW VALERIA VIEW DR APT 105
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-7071
Mailing Address - Country:US
Mailing Address - Phone:971-284-8709
Mailing Address - Fax:833-218-8894
Practice Address - Street 1:434 SW VALERIA VIEW DR APT 105
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-7071
Practice Address - Country:US
Practice Address - Phone:971-284-8709
Practice Address - Fax:833-218-8894
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-04
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician