MEDICARE: KAREN SWANSON TAHERI LPC, NCC

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	101Y00000X	Counselor	4819	LA

General Provider Information

NPI Number	:	1568808913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN SWANSON TAHERI LPC, NCC

Provider Business Mailing Address
First Line	:	3535 SOUTH SHERWOOD FOREST BLVE.
Second Line	:	SUITE 201
City	:	BATON ROUGE
State	:	LA
Zip	:	70816
Country	:	US
Telephone Number	:	225-308-1735
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 S SHERWOOD FOREST BLVD
Second Line	:	SUITE 201
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2255
Country	:	US
Telephone Number	:	225-308-1735
Fax Number	:

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

Provider Enumeration Date	:	05/13/2013
Last Update Date	:	08/14/2013

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