MEDICARE: MS. KAREN JOYCE LAWLER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	51459	CA
2	106H00000X	Marriage & Family Therapist	MFC49292	CA

General Provider Information

NPI Number	:	1205942778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN JOYCE LAWLER LMFT

Provider Business Mailing Address
First Line	:	3400 DATA DR
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-7956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8120 TIMBERLAKE WAY STE 107
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5413
Country	:	US
Telephone Number	:	916-681-6101
Fax Number	:	916-648-0196

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	02/04/2021

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