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NPI Code Detail

MEDICARE: KAREN CRAVEN LCPC

MEDICARE: KAREN CRAVEN LCPC
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
1101YM0800XMental Health CounselorIL

General Provider Information

NPI Number : 1225251226
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN CRAVEN LCPC
Provider Business Mailing Address
First Line : 20 N CLARK ST
Second Line : SUITE 2650
City : CHICAGO
State : IL
Zip : 60602-4109
Country : US
Telephone Number : 866-296-5262
Fax Number : 312-558-1570
Provider Business Practice Location Address
First Line : 20 N CLARK ST
Second Line : SUITE 2650
City : CHICAGO
State : IL
Zip : 60602-4109
Country : US
Telephone Number : 866-296-5262
Fax Number : 312-558-1570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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Directions to “ KAREN CRAVEN LCPC” Practice Location

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