Provider Demographics
NPI:1952942799
Name:MALDONADO, KAREN IRENE (LPC, LMHC, BC-TMH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:IRENE
Last Name:MALDONADO
Suffix:
Gender:F
Credentials:LPC, LMHC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 DEERWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-8933
Mailing Address - Country:US
Mailing Address - Phone:863-393-6735
Mailing Address - Fax:
Practice Address - Street 1:215 DEERWOOD CIR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-8933
Practice Address - Country:US
Practice Address - Phone:863-393-6735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10715101YM0800X
FLMH12666101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health