Doctor Name: | KAREN KOLB FLYNN |
NPI Number: | 1104097633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,LPC,LIC.PSY. |
License Number: | 1779 |
Business Practice Address: | 725 Yokum St Elkins, WV - 262413353 |
Business Phone Number: | 3046363232 |
Business Fax Number: | 3046369243 |
Mailing Address: | 725 Yokum St, ELKINS |
State: | WV |
Postal Code: | 262413353 |
Phone Number: | 3046363232 |
Fax Number: | 3046369243 |
NPI Enumeration Date: | 03/12/2008 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1779 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |