Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1205427135 |
---|---|
Provider Name | Karen Hauben |
First Address | Quincy, CA 95971-3940 |
Second Address | Lodi, CA 95240-0919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2021 |
Last Update Date | 12/02/2021 |