Individual
DR. KAREN GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LMFT
Contact information
Practice address
4425 E AGAVE RD, SUITE 116, PHOENIX, AZ 85044-0619
(480) 268-7435
(480) 656-0011
Mailing address
4747 E ELLIOT RD, SUITE 29-597, PHOENIX, AZ 85044-1627
(480) 268-7435
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-10264
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11820525
CAQH PROVIDER ID
—
Enumeration date
02/27/2008
Last updated
02/27/2008
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