Healthcare Provider Details

I. General information

NPI: 1467985325
Provider Name (Legal Business Name): KAREN ESTHER COHEN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 04/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6323 ZINDELL AVE
COMMERCE CA
90040-3830
US

IV. Provider business mailing address

PO BOX 2635
PASADENA CA
91102-2635
US

V. Phone/Fax

Practice location:
  • Phone: 888-549-8884
  • Fax: 888-578-2246
Mailing address:
  • Phone: 888-549-8884
  • Fax: 888-578-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number07694167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: