Healthcare Provider Details

I. General information

NPI: 1528900669
Provider Name (Legal Business Name): KAREN LOUISE CANELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N PINE ST STE 101
ROLLA MO
65401-3181
US

IV. Provider business mailing address

801 HALIFAX DR APT B
ROLLA MO
65401-3986
US

V. Phone/Fax

Practice location:
  • Phone: 573-426-2277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: