MEDICARE: MS. KAREN FRANCES MCCARTHY MA, LLPC

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
1	101YM0800X	Mental Health Counselor	6451019729	MI

General Provider Information

NPI Number	:	1275202475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN FRANCES MCCARTHY MA, LLPC

Provider Business Mailing Address
First Line	:	PO BOX 1655
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49685-1655
Country	:	US
Telephone Number	:	231-715-1166
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 VETERANS DR STE 205
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4734
Country	:	US
Telephone Number	:	231-715-1166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	09/10/2021

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