Provider Demographics
NPI:1982907440
Name:FOCHT, KAREN ELIZABETH (LMFT, MA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:FOCHT
Suffix:
Gender:F
Credentials:LMFT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 W SAINT PAUL AVE
Mailing Address - Street 2:#2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-8911
Mailing Address - Country:US
Mailing Address - Phone:312-533-0248
Mailing Address - Fax:312-280-8365
Practice Address - Street 1:1165 N CLARK ST.
Practice Address - Street 2:SUITE 411
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-7473
Practice Address - Country:US
Practice Address - Phone:312-533-0248
Practice Address - Fax:312-803-2128
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.000812106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist