Doctor Name: | KAREN J GROBAN |
NPI Number: | 1225082456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | CSW001664 |
Business Practice Address: | 630 Hillcrest Rd Nw Suite 400 Lilburn, GA - 300471710 |
Business Phone Number: | 7705640590 |
Business Fax Number: | 7705648565 |
Mailing Address: | 630 Hillcrest Rd Nw, Suite 400 LILBURN |
State: | GA |
Postal Code: | 300471710 |
Phone Number: | 7705640590 |
Fax Number: | 7705648565 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CSW001664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |