Provider Demographics
NPI:1588775076
Name:OHM, KARLEE DAWN (MS, MFT)
Entity type:Individual
Prefix:MRS
First Name:KARLEE
Middle Name:DAWN
Last Name:OHM
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 ORANGE ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-3242
Mailing Address - Country:US
Mailing Address - Phone:909-793-2701
Mailing Address - Fax:909-793-2701
Practice Address - Street 1:550 ORANGE ST
Practice Address - Street 2:SUITE E
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-3242
Practice Address - Country:US
Practice Address - Phone:909-793-2701
Practice Address - Fax:909-793-2701
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35639106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist