Provider Demographics
NPI:1730509688
Name:SELLERS, KAREN (CMHC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SELLERS
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3032 BLOOMINGTON HILLS DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-8209
Mailing Address - Country:US
Mailing Address - Phone:530-276-5767
Mailing Address - Fax:435-986-8609
Practice Address - Street 1:770 E SAINT GEORGE BLVD
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3034
Practice Address - Country:US
Practice Address - Phone:435-656-7165
Practice Address - Fax:435-986-8609
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT369194-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health