Individual
KAREN KHATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4747 EAGLERIDGE CIR APT 101, PUEBLO, CO 81008-2142
(719) 744-2326
Mailing address
4747 EAGLERIDGE CIR APT 101, PUEBLO, CO 81008-2142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
0014777
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932524394
—
CO
05
—
1932524394
—
LA
Enumeration date
02/21/2014
Last updated
02/17/2022
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