Provider Demographics
NPI:1528242369
Name:STEVENS, KAREN M (MED, LMHC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:STEVENS
Other - Last Name:COCHRANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, LMHC
Mailing Address - Street 1:18740 DIAMOND DR NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-8621
Mailing Address - Country:US
Mailing Address - Phone:360-509-9199
Mailing Address - Fax:
Practice Address - Street 1:18777 9TH AVE NE
Practice Address - Street 2:SUITE 1
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8402
Practice Address - Country:US
Practice Address - Phone:360-509-9199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health