Provider Demographics
NPI:1780694323
Name:WRAY, KAREN UHLE (LPC, CPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:UHLE
Last Name:WRAY
Suffix:
Gender:F
Credentials:LPC, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 COLLYER ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5598
Mailing Address - Country:US
Mailing Address - Phone:720-878-3403
Mailing Address - Fax:
Practice Address - Street 1:545 COLLYER ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5598
Practice Address - Country:US
Practice Address - Phone:720-878-3403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10101YM0800X
CO1010101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO590OtherLICENSED PROFESSIONAL COU