Vandiver, Karen R

Vandiver, Karen R is an individual health care provider with primary practice located at 718 S 17Th St , Temple TX 76504-5457. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Vandiver, Karen R can be contacted via phone (254) 780-9538.

Contact Information

Primary practice address
718 S 17Th St Temple TX 76504-5457
Phone: (254) 780-9538
Fax: (254) 780-9538
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 9000 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2725 Texas

Profile Details

NPI number 1982691150
LBN Legal business name Vandiver, Karen R
Credentials LPC-LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982691150 NPPES
Texas Other 1340LC BLUECROSS BLUESHIELD

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