Provider Demographics
NPI:1821201807
Name:JOSEPHS, KAREN LYNN (DC, LMFT)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYNN
Last Name:JOSEPHS
Suffix:
Gender:F
Credentials:DC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 A ST
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3923
Mailing Address - Country:US
Mailing Address - Phone:415-295-5290
Mailing Address - Fax:
Practice Address - Street 1:1330 LINCOLN AVE STE 109
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-2141
Practice Address - Country:US
Practice Address - Phone:415-295-5290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26413111N00000X
CALMFT147515101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No111N00000XChiropractic ProvidersChiropractor