Provider Demographics
NPI:1053639138
Name:VOGEL, KARIN DIANNE (LCPC)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:DIANNE
Last Name:VOGEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 POTOMAC STREET
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740
Mailing Address - Country:US
Mailing Address - Phone:240-344-8724
Mailing Address - Fax:
Practice Address - Street 1:108 N POTOMAC ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4810
Practice Address - Country:US
Practice Address - Phone:240-344-8724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2698101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional