Provider Demographics
NPI:1598815219
Name:STUART KELLY, KAREN STUART (MS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:STUART
Last Name:STUART KELLY
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3585 MAPLE ST STE 246
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-9104
Mailing Address - Country:US
Mailing Address - Phone:805-625-2244
Mailing Address - Fax:844-528-1796
Practice Address - Street 1:3585 MAPLE ST STE 246
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-9104
Practice Address - Country:US
Practice Address - Phone:805-625-2244
Practice Address - Fax:844-528-1796
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42983106H00000X
CALMFT42983106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist