Provider Demographics
NPI:1972738052
Name:CAUTHEN, KAREN E (LRC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:E
Last Name:CAUTHEN
Suffix:
Gender:F
Credentials:LRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 CAMBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-1626
Mailing Address - Country:US
Mailing Address - Phone:201-569-3409
Mailing Address - Fax:
Practice Address - Street 1:252 CAMBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-1626
Practice Address - Country:US
Practice Address - Phone:201-569-3409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37RC00204600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional