Provider Demographics
NPI:1063953669
Name:EVERSON, KAREN (MA, LPC, RPT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:EVERSON
Suffix:
Gender:F
Credentials:MA, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21021 SPRING BROOK PLAZA DR
Mailing Address - Street 2:SUITE 175
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5338
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21021 SPRING BROOK PLAZA DR
Practice Address - Street 2:SUITE 175
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5338
Practice Address - Country:US
Practice Address - Phone:214-846-7376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67042101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor