MEDICARE: KARIN M MOBLEY LPCC-S LICDC

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	E0007501	OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	162755	OH

General Provider Information

NPI Number	:	1740333400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN M MOBLEY LPCC-S LICDC

Provider Business Mailing Address
First Line	:	258 PROGRESS PKWY
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-2523
Country	:	US
Telephone Number	:	419-618-8213
Fax Number	:

Provider Business Practice Location Address
First Line	:	258 PROGRESS PKWY
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-2523
Country	:	US
Telephone Number	:	419-618-8213
Fax Number	:

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	02/25/2026

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