Basic Information
| Provider Information | |||||||||
| NPI: | 1588754311 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BLOUNT | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LMSW, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1704 MARY ANN ST | ||||||||
| Address2: | |||||||||
| City: | MT PLEASANT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488581246 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897734930 | ||||||||
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| Practice Location | |||||||||
| Address1: | 301 S CRAPO ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | MT PLEASANT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488582941 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897725938 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 6401003312 | MI | X | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | 6801019578 | MI | X | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.