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NPI Code Detail

MEDICARE: KAREN LYN CEPEDA LCPC

MEDICARE: KAREN LYN CEPEDA 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
1101YM0800XMental Health Counselor180.004232IL

General Provider Information

NPI Number : 1851503957
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LYN CEPEDA LCPC
Provider Business Mailing Address
First Line : 64 MAIN ST
Second Line :
City : OSWEGO
State : IL
Zip : 60543-9893
Country : US
Telephone Number : 630-308-7157
Fax Number :
Provider Business Practice Location Address
First Line : 64 MAIN ST
Second Line :
City : OSWEGO
State : IL
Zip : 60543-9893
Country : US
Telephone Number : 630-308-7157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/21/2023

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Directions to “ KAREN LYN CEPEDA LCPC” Practice Location

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