Individual
KAREN J SUPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 321-8990
Mailing address
2004 VALPARAISO ST, VALPARAISO, IN 46383-3138
(219) 477-5646
(219) 728-4765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004005A
IN
101YP2500X
Professional Counselor
180.007680
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058838
—
IN
Enumeration date
02/15/2006
Last updated
10/24/2024
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