Doctor Name: | KAREN ZECK |
NPI Number: | 1033272422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 39001517A |
Business Practice Address: | 17195 Cleveland Rd Samaritan Counseling Center South Bend, IN - 466351415 |
Business Phone Number: | 5742770274 |
Business Fax Number: | 5742717202 |
Mailing Address: | 58238 Ash Rd, OSCEOLA |
State: | IN |
Postal Code: | 465619635 |
Phone Number: | 5746748617 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39001517A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |