Provider Demographics
NPI:1104933928
Name:SANDERS, KAREN L (LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:SANDERS
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 1:4171 N MESA ST STE A106
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1422
Mailing Address - Country:US
Mailing Address - Phone:915-532-2030
Mailing Address - Fax:915-585-2129
Practice Address - Street 1:4171 N MESA ST STE A106
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1422
Practice Address - Country:US
Practice Address - Phone:915-532-2030
Practice Address - Fax:915-585-2129
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11245101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3278LCOtherBLUE CROSS BLUE SHIELD