Healthcare Provider Details

I. General information

NPI: 1306723150
Provider Name (Legal Business Name): KAREN MARIE CLEM PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2665 DUTTON MDW
SANTA ROSA CA
95407-7730
US

IV. Provider business mailing address

3150 EDUCATION DR
SANTA ROSA CA
95407-2767
US

V. Phone/Fax

Practice location:
  • Phone: 707-541-3795
  • Fax:
Mailing address:
  • Phone: 707-542-5197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: