Individual
MS. SHAZIA KAREEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25 DAY SCHOOL DR, MIDDLEFIELD, CT 06455-1276
(475) 238-4509
Mailing address
25 DAY SCHOOL DR, MIDDLEFIELD, CT 06455-1276
(475) 238-4509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002312
CT
101YP2500X
Professional Counselor
002313
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639521305
ANTHEM
CT
05
—
1639521305
—
CT
Enumeration date
04/04/2007
Last updated
09/03/2021
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