Provider Demographics
NPI:1770895922
Name:LANDOLFI, KAREN ALICE (LPC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ALICE
Last Name:LANDOLFI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-5947
Mailing Address - Country:US
Mailing Address - Phone:405-844-4453
Mailing Address - Fax:
Practice Address - Street 1:917 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5947
Practice Address - Country:US
Practice Address - Phone:405-844-4453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-03
Last Update Date:2010-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional