Provider Demographics
NPI:1528331220
Name:REESE, KAREN LOUISE (MS LPC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LOUISE
Last Name:REESE
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 N ASTER PL
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-8583
Mailing Address - Country:US
Mailing Address - Phone:918-307-8935
Mailing Address - Fax:
Practice Address - Street 1:313 N ASTER PL
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-8583
Practice Address - Country:US
Practice Address - Phone:918-307-8935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-12
Last Update Date:2012-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool