Provider Demographics
NPI:1396918116
Name:SHEPHARD, KAREN HOWELL (MA, MS, PHD)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:HOWELL
Last Name:SHEPHARD
Suffix:
Gender:F
Credentials:MA, MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 W INSELS RD
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-7819
Mailing Address - Country:US
Mailing Address - Phone:360-427-0159
Mailing Address - Fax:
Practice Address - Street 1:443 W INSELS RD
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-7819
Practice Address - Country:US
Practice Address - Phone:360-427-0159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-13
Last Update Date:2008-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00001245101YA0400X
WALH00003402101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)