Doctor Name: | MS. KAREN SUE PALMER |
NPI Number: | 1023343522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., L.C.P.C. |
License Number: | 180.001475 |
Business Practice Address: | 6 Emerald Ter Ste 4 Swansea, IL - 622262312 |
Business Phone Number: | 6182330500 |
Business Fax Number: | 6182337935 |
Mailing Address: | 1502 English Pine Ln, O FALLON |
State: | IL |
Postal Code: | 622692577 |
Phone Number: | 6185899599 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2009 |
NPI Last Update Date: | 10/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180.001475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |