Provider Demographics
NPI:1144530320
Name:SCHNELLER, KAREN PATRICIA (MA, LMFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:PATRICIA
Last Name:SCHNELLER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2015
Mailing Address - Country:US
Mailing Address - Phone:562-884-6827
Mailing Address - Fax:714-840-9259
Practice Address - Street 1:1530 MONTEREY ST STE A2
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-2969
Practice Address - Country:US
Practice Address - Phone:562-884-6827
Practice Address - Fax:714-362-9564
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2021-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49207106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist