Provider Demographics
NPI:1811631534
Name:KARINEN, KELLY (LPCC, CAS)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:KARINEN
Suffix:
Gender:F
Credentials:LPCC, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 ALCOTT ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3819
Mailing Address - Country:US
Mailing Address - Phone:720-660-3442
Mailing Address - Fax:
Practice Address - Street 1:8400 ALCOTT ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3819
Practice Address - Country:US
Practice Address - Phone:720-660-3442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA