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NPI Code Detail

MEDICARE: KAREN VANACKER

MEDICARE: KAREN VANACKER
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
1390200000XStudent in an Organized Health Care Education/Training Program
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1891995577
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN VANACKER
Provider Business Mailing Address
First Line : 1845 COMMERCIAL ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-5203
Country : US
Telephone Number : 503-385-3484
Fax Number :
Provider Business Practice Location Address
First Line : 1845 COMMERCIAL ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-5203
Country : US
Telephone Number : 503-385-3484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 07/16/2008

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Directions to “ KAREN VANACKER ” Practice Location

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