Provider Demographics
NPI:1992247548
Name:MEMMER, KARL GEORGE (LPC)
Entity type:Individual
Prefix:MR
First Name:KARL
Middle Name:GEORGE
Last Name:MEMMER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
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Mailing Address - Street 1:306 WESTWOOD OFFICE PARK
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5108
Mailing Address - Country:US
Mailing Address - Phone:540-699-0226
Mailing Address - Fax:540-699-0224
Practice Address - Street 1:5374 TWIN HICKORY RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059
Practice Address - Country:US
Practice Address - Phone:540-699-0226
Practice Address - Fax:540-699-0224
Is Sole Proprietor?:No
Enumeration Date:2016-11-14
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701006803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional