Provider Demographics
NPI:1992115349
Name:BAUM, KAREN S (MA, LPCC-S)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:BAUM
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12055 STATE ROUTE 330
Mailing Address - Street 2:
Mailing Address - City:VANLUE
Mailing Address - State:OH
Mailing Address - Zip Code:45890-9703
Mailing Address - Country:US
Mailing Address - Phone:419-277-4355
Mailing Address - Fax:
Practice Address - Street 1:12055 STATE ROUTE 330
Practice Address - Street 2:
Practice Address - City:VANLUE
Practice Address - State:OH
Practice Address - Zip Code:45890-9703
Practice Address - Country:US
Practice Address - Phone:419-277-4355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0800446101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health