Provider Demographics
NPI:1750537171
Name:MCDONALD, KAREN MARIE (LPCC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 CARDENAS DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-1720
Mailing Address - Country:US
Mailing Address - Phone:505-266-8166
Mailing Address - Fax:505-266-8168
Practice Address - Street 1:920 CARDENAS DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1720
Practice Address - Country:US
Practice Address - Phone:505-266-8166
Practice Address - Fax:505-266-8168
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0115841101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health