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Individual
KAREN M THEILING
Active
Individual
KAREN M THEILING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1323839
COMPSYCH HMO
MA
01
—
1902915523
BMC HEALTHNET PLAN
MA
01
—
7767566
AETNA
MA
01
—
LM1149
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/29/2006
Last updated
06/11/2008
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