Provider Demographics
NPI:1588697437
Name:KNAPP, KAREN M (MFC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:KNAPP
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 GERALDINE ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-2328
Mailing Address - Country:US
Mailing Address - Phone:925-606-7512
Mailing Address - Fax:
Practice Address - Street 1:1811 SANTA RITA RD STE 207
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4732
Practice Address - Country:US
Practice Address - Phone:925-606-7512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 27898106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist