Provider Demographics
NPI:1023364478
Name:LIEN, KARIN MARIE (LPC)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:MARIE
Last Name:LIEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4048 LAUREL ST STE 306
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5391
Mailing Address - Country:US
Mailing Address - Phone:907-230-1400
Mailing Address - Fax:907-929-4660
Practice Address - Street 1:4048 LAUREL ST STE 306
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5391
Practice Address - Country:US
Practice Address - Phone:907-230-1400
Practice Address - Fax:907-929-4660
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK738101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional