Provider Demographics
NPI:1902964984
Name:WULFSON, KAREN L (LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:WULFSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 SOUTH BEVERLY DRIVE.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4410
Mailing Address - Country:US
Mailing Address - Phone:310-475-1759
Mailing Address - Fax:310-475-1759
Practice Address - Street 1:420 S BEVERLY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4426
Practice Address - Country:US
Practice Address - Phone:310-475-1759
Practice Address - Fax:310-475-1759
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC22556106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist