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NPI Code Detail

MEDICARE: KAREN LOUISE NIELSEN LPC

MEDICARE:   KAREN LOUISE NIELSEN  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC3536OR
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1184900672
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LOUISE NIELSEN LPC
Provider Business Mailing Address
First Line : 618 19TH ST
Second Line :
City : PORT ORFORD
State : OR
Zip : 97465-8532
Country : US
Telephone Number : 541-892-1495
Fax Number :
Provider Business Practice Location Address
First Line : 281 LACLAIR ST
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2988
Country : US
Telephone Number : 541-266-6762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2011
Last Update Date : 08/27/2019

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Directions to “ KAREN LOUISE NIELSEN LPC” Practice Location

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