Provider Demographics
NPI:1033272422
Name:ZECK, KAREN (LMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ZECK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58238 ASH RD
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46561-9635
Mailing Address - Country:US
Mailing Address - Phone:574-674-8617
Mailing Address - Fax:
Practice Address - Street 1:17195 CLEVELAND RD
Practice Address - Street 2:SAMARITAN COUNSELING CENTER
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46635-1415
Practice Address - Country:US
Practice Address - Phone:574-277-0274
Practice Address - Fax:574-271-7202
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001517A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health