Individual
MS. KAREN R VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-LMFT
Contact information
Practice address
718 S 17TH ST, TEMPLE, TX 76504-5457
(254) 780-9538
(254) 780-9538
Mailing address
130 SOBRANTE, MORGANS POINT RESORT, TX 76513-8008
(254) 780-9538
(254) 780-9538
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9000
TX
106H00000X
Marriage & Family Therapist
Primary
2725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1340LC
BLUECROSS BLUESHIELD
TX
Enumeration date
10/04/2005
Last updated
09/11/2025
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