Karen M Cain, LPCC

Individual provider Active NPI Professional Counselor · Espanola, NM

NPI 1265869812 · NPPES record last updated Sep 27, 2013

Key facts

NPI
1265869812
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0152821 (NM)
Practice address
210 Guachpangue Rd
Espanola, NM 87532-3424
Phone
(505) 501-4933
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0152821NMMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0152821 NM Yes

Addresses

Primary practice location

210 Guachpangue Rd
Espanola, NM 87532-3424

Mailing address

PO Box 1154
Pecos, NM 87552-1154
Phone (505) 501-4933

Other providers in Espanola, NM

All providers in Espanola, NM · Professional Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.