Doctor Name: | KAREN J VATTHAUER |
NPI Number: | 1023199262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC, BCPC |
License Number: | 180001896 |
Business Practice Address: | 800 N Webster St Taylorville, IL - 625681258 |
Business Phone Number: | 2178272877 |
Business Fax Number: | 2178243451 |
Mailing Address: | Po Box 194, 800 N. Webster St. TAYLORVILLE |
State: | IL |
Postal Code: | 625680194 |
Phone Number: | 2178272877 |
Fax Number: | 2178243451 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180001896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |