MEDICARE: MS. KAREN S. WERNER MS, LPC

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	101YP2500X	Professional Counselor	001984	GA

General Provider Information

NPI Number	:	1952430761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN S. WERNER MS, LPC

Provider Business Mailing Address
First Line	:	5881 MILLSTONE LN
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-1811
Country	:	US
Telephone Number	:	404-906-3992
Fax Number	:	770-390-0877

Provider Business Practice Location Address
First Line	:	1 DUNWOODY PARK
Second Line	:	SUITE 140
City	:	ATLANTA
State	:	GA
Zip	:	30338-7404
Country	:	US
Telephone Number	:	770-395-7301
Fax Number	:	770-390-0877

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	07/08/2007

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