Provider Demographics
NPI:1750971883
Name:TOVAR, KARIN S (MA, LGPC)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:S
Last Name:TOVAR
Suffix:
Gender:F
Credentials:MA, LGPC
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:S
Other - Last Name:TOVAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LGPC
Mailing Address - Street 1:1421 EUCLID ST NW APT 408
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5999
Mailing Address - Country:US
Mailing Address - Phone:240-421-3116
Mailing Address - Fax:
Practice Address - Street 1:1421 EUCLID ST NW APT 408
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5999
Practice Address - Country:US
Practice Address - Phone:202-688-5928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC00344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health