Provider Demographics
NPI:1841440740
Name:GARD, KAREN KAY (MS, LMHC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:KAY
Last Name:GARD
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:KAY
Other - Last Name:KROGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7261 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2311
Mailing Address - Country:US
Mailing Address - Phone:402-398-6248
Mailing Address - Fax:402-829-8513
Practice Address - Street 1:704 N 8TH ST
Practice Address - Street 2:
Practice Address - City:MISSOURI VALLEY
Practice Address - State:IA
Practice Address - Zip Code:51555-1134
Practice Address - Country:US
Practice Address - Phone:712-642-2045
Practice Address - Fax:712-642-9286
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00931101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health