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NPI Code Detail

MEDICARE: KAREN WEBB

MEDICARE: KAREN WEBB
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1982076220
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN WEBB
Provider Business Mailing Address
First Line : 1000 CHINABERRY DRIVE, STE 900
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 751 BAYOU PINES EAST DR STE C
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-7196
Country : US
Telephone Number : 337-433-3292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2015
Last Update Date : 01/15/2020

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