Provider Demographics
NPI:1962755884
Name:CRAIG, KAREN LYNN (MA, LMHC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:CRAIG
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18209 STATE ROUTE 410 E
Mailing Address - Street 2:SUITE 304
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-5146
Mailing Address - Country:US
Mailing Address - Phone:253-722-7210
Mailing Address - Fax:360-872-0095
Practice Address - Street 1:18209 STATE ROUTE 410 E
Practice Address - Street 2:SUITE 304
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-5146
Practice Address - Country:US
Practice Address - Phone:253-722-7210
Practice Address - Fax:360-872-0095
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60416987101YA0400X
WALH60249742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)