Provider Demographics
NPI:1427324532
Name:HERRMANN, KAREN MARIE (MSED, LPCC-S, LICDC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARIE
Last Name:HERRMANN
Suffix:
Gender:F
Credentials:MSED, LPCC-S, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 W 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3208
Mailing Address - Country:US
Mailing Address - Phone:614-288-3303
Mailing Address - Fax:
Practice Address - Street 1:59 W 3RD AVE
Practice Address - Street 2:COLUMBUS
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-3208
Practice Address - Country:US
Practice Address - Phone:614-288-3303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH991461101YA0400X
OHE0002642101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)