Individual
MS. KAREN ANN BASHAWATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLP LPC
Contact information
Practice address
8814 CEDAR LN, CLARKSTON, MI 48348-4210
(248) 557-4006
Mailing address
8814 CEDAR LN, CLARKSTON, MI 48348-4210
(248) 557-4006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401006379
MI
101YP2500X
Professional Counselor
Primary
6401006379
MI
103T00000X
Psychologist
6301010138
MI
Other
Enumeration date
02/20/2007
Last updated
05/18/2022
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