Individual
MRS. KAREN BAKER BALUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LCDC III
Contact information
Practice address
179 BROAD ST, CONNEAUT, OH 44030-2614
(440) 488-8646
(440) 201-6566
Mailing address
179 BROAD ST, CONNEAUT, OH 44030-2614
(440) 645-1949
(440) 201-6566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E1200421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199700
—
OH
Enumeration date
08/28/2016
Last updated
03/04/2021
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