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General NPI Number Information
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NPI Number | 1184750077
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Entity Type | Individual
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Provider Name | KAREN KAY MCKIBBEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2246 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77005-1510
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Country | US
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Telephone | 713-529-7400
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Fax | 713-630-0934
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Provider Business Mailing Address
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Address Line | 2246 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77005-1510
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Country | US
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Telephone | 713-529-7400
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Fax | 713-630-0934
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17640385
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14719
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License Number State | TX
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