Provider Demographics
NPI:1881730646
Name:MCGUFFEY, KAREN (MFT TRAINEE)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MCGUFFEY
Suffix:
Gender:F
Credentials:MFT TRAINEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42737 EVERGLADES PARK DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-3926
Mailing Address - Country:US
Mailing Address - Phone:510-490-0675
Mailing Address - Fax:
Practice Address - Street 1:42737 EVERGLADES PARK DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-3926
Practice Address - Country:US
Practice Address - Phone:510-490-0675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist