Doctor Name: | MS. KAREN MARIE HOLUB |
NPI Number: | 1497876155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180.006190 |
Business Practice Address: | 2213 Lakeside Dr Bannockburn, IL - 600151265 |
Business Phone Number: | 8476049441 |
Business Fax Number: | |
Mailing Address: | 110 N Milwaukee Ave, Unit 206 WHEELING |
State: | IL |
Postal Code: | 600903077 |
Phone Number: | 8479472918 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180.006190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |