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NPI Code Detail

MEDICARE: KAREN THOBEN LCPC

MEDICARE: KAREN THOBEN 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
1101YP2500XProfessional CounselorLC0266MD

General Provider Information

NPI Number : 1720442395
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN THOBEN LCPC
Provider Business Mailing Address
First Line : 12073 TECH RD
Second Line : SUITE B
City : SILVER SPRING
State : MD
Zip : 20904-7873
Country : US
Telephone Number : 240-396-5836
Fax Number : 301-681-4699
Provider Business Practice Location Address
First Line : 12073 TECH RD
Second Line : SUITE B
City : SILVER SPRING
State : MD
Zip : 20904-7873
Country : US
Telephone Number : 240-396-5836
Fax Number : 301-681-4699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2016
Last Update Date : 04/11/2016

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