Individual
KAREN KAY ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW/CRS
Contact information
Practice address
208 W 21ST ST, CONNERSVILLE, IN 47331-2930
(765) 338-9885
(765) 222-1249
Mailing address
1514 CONWELL STREET, 208 WST 21ST STREET, CONNERSVILLE, INDIANA 47331
(765) 338-9885
(765) 222-1249
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111
—
IN
Enumeration date
02/19/2015
Last updated
02/19/2015
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