Provider Demographics
NPI:1841323060
Name:ANDERSON-DUNPHY, KAAREN L (LPC)
Entity type:Individual
Prefix:
First Name:KAAREN
Middle Name:L
Last Name:ANDERSON-DUNPHY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 ELKINS LAKE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340
Mailing Address - Country:US
Mailing Address - Phone:936-295-0768
Mailing Address - Fax:
Practice Address - Street 1:1211 FINANCIAL PLZ
Practice Address - Street 2:SUITE 2
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-3505
Practice Address - Country:US
Practice Address - Phone:936-581-1951
Practice Address - Fax:936-436-0178
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional