Provider Demographics
NPI:1154733137
Name:MCCABE, KAREN CHRISTINE (LCPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:CHRISTINE
Last Name:MCCABE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 NORTHWEST BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2974
Mailing Address - Country:US
Mailing Address - Phone:208-889-3370
Mailing Address - Fax:208-625-2009
Practice Address - Street 1:250 NORTHWEST BLVD STE 101
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2974
Practice Address - Country:US
Practice Address - Phone:208-889-3370
Practice Address - Fax:208-625-2009
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7601101YM0800X
ID6768101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health