Provider Demographics
NPI:1124113923
Name:TASKEY, KAREN JEAN (MA)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JEAN
Last Name:TASKEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2670 N COLUMBUS ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8408
Mailing Address - Country:US
Mailing Address - Phone:740-687-9389
Mailing Address - Fax:740-689-9518
Practice Address - Street 1:564 MILL PARK DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-7744
Practice Address - Country:US
Practice Address - Phone:740-687-9389
Practice Address - Fax:740-689-9518
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPCC E 369101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional