Provider Demographics
NPI:1285895300
Name:WILLS, KAREN ELIZABETH (MA NCC LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:WILLS
Suffix:
Gender:F
Credentials:MA NCC LPC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ELIZABETH
Other - Last Name:WILLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA NCC LPC
Mailing Address - Street 1:817 COLORADO AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-3349
Mailing Address - Country:US
Mailing Address - Phone:970-620-7220
Mailing Address - Fax:877-755-9128
Practice Address - Street 1:817 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3349
Practice Address - Country:US
Practice Address - Phone:970-620-7220
Practice Address - Fax:877-755-9128
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2131101YP2500X
CO5604101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5604OtherLICENSED PROFESSIONAL COUNSELOR
219479OtherNATIONAL CERTIFIED COUNSELOR