Healthcare Provider Details

I. General information

NPI: 1356318836
Provider Name (Legal Business Name): KAREN KNAUP LCPC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 02/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 W 8TH ST
FORT SCOTT KS
66701-2404
US

IV. Provider business mailing address

710 W 8TH ST
FORT SCOTT KS
66701-2404
US

V. Phone/Fax

Practice location:
  • Phone: 620-223-8590
  • Fax: 620-223-8592
Mailing address:
  • Phone: 620-223-8590
  • Fax: 620-223-8592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2001019277
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC 763
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: