Doctor Name: | MS. KAREN LEE STOKES |
NPI Number: | 1366731093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC, LPCC |
License Number: | LPCC201102 |
Business Practice Address: | 115 6th Street Nw Cass Lake, MN - 56633 |
Business Phone Number: | 2183358276 |
Business Fax Number: | 2183358352 |
Mailing Address: | 115 6th Street Nw, CASS LAKE |
State: | MN |
Postal Code: | 55633 |
Phone Number: | 2183358276 |
Fax Number: | 2183358352 |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 04/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPCC201102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |