| Doctor Name: | KAREN CUPP |
| NPI Number: | 1871983072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. TLLP |
| License Number: | 6301008378 |
| Business Practice Address: | 21825 Woodruff Rd Apt G3 Rockwood, MI - 481731062 |
| Business Phone Number: | 3136003395 |
| Business Fax Number: | |
| Mailing Address: | 21825 Woodruff Rd, Apt G3 ROCKWOOD |
| State: | MI |
| Postal Code: | 481731062 |
| Phone Number: | 3136003395 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2015 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 6301008378 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |