Provider Demographics
NPI:1073661138
Name:MINDT HOWELL, KAREN MALINE (LPC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MALINE
Last Name:MINDT HOWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:OR
Mailing Address - Zip Code:97027-0121
Mailing Address - Country:US
Mailing Address - Phone:503-545-7541
Mailing Address - Fax:971-925-5130
Practice Address - Street 1:250 PRINCETON AVE STE 207
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:OR
Practice Address - Zip Code:97027-2566
Practice Address - Country:US
Practice Address - Phone:503-545-7541
Practice Address - Fax:503-545-7541
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2216101YP2500X
CAMFC34909106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist