Doctor Name: | MRS. KAREN WILKINSON JOHN |
NPI Number: | 1891919106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | LMSW-27642 |
Business Practice Address: | 631 N 200 E Suite 1 Rexburg, ID - 834403599 |
Business Phone Number: | 2083566975 |
Business Fax Number: | |
Mailing Address: | 4063 N 3000 W, REXBURG |
State: | ID |
Postal Code: | 834403141 |
Phone Number: | 2083566141 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LMSW-27642 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |