Provider Demographics
NPI:1932760261
Name:HAFFNER, KAREN ANN (MA, LMAC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:HAFFNER
Suffix:
Gender:F
Credentials:MA, LMAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 E 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-4114
Mailing Address - Country:US
Mailing Address - Phone:620-221-6252
Mailing Address - Fax:620-221-6253
Practice Address - Street 1:2720 E 12TH AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-4114
Practice Address - Country:US
Practice Address - Phone:620-221-6252
Practice Address - Fax:620-221-6253
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2021-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS00888101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty