Provider Demographics
NPI:1699441055
Name:GEORGE, KARYN E (MA)
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:E
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9509 49TH PL W APT 29F
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-3746
Mailing Address - Country:US
Mailing Address - Phone:949-702-0395
Mailing Address - Fax:
Practice Address - Street 1:20102 CEDAR VALLEY RD STE 106
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6332
Practice Address - Country:US
Practice Address - Phone:425-338-7589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health