Provider Demographics
NPI:1831345982
Name:EDWARDS, KARLA ANE
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:ANE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KARLA
Other - Middle Name:ANE
Other - Last Name:MCCAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4801 34TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-4849
Mailing Address - Country:US
Mailing Address - Phone:916-737-9202
Mailing Address - Fax:
Practice Address - Street 1:4801 34TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-4849
Practice Address - Country:US
Practice Address - Phone:916-737-9202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health