Healthcare Provider Details

I. General information

NPI: 1427364231
Provider Name (Legal Business Name): KAREN FRANCES CITRANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN FRANCES SULLIVAN

II. Dates (important events)

Enumeration Date: 08/31/2010
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TER HEUN DR
FALMOUTH MA
02540-2525
US

IV. Provider business mailing address

200 TER HEUN DR
FALMOUTH MA
02540-2525
US

V. Phone/Fax

Practice location:
  • Phone: 508-540-6550
  • Fax: 508-540-7480
Mailing address:
  • Phone: 508-540-6550
  • Fax: 508-540-7480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC9013
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number313583
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: