Provider Demographics
NPI:1063491579
Name:KAZSMER, KAREN ANN (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:KAZSMER
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 ATKINS AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-5406
Mailing Address - Country:US
Mailing Address - Phone:216-544-4840
Mailing Address - Fax:440-793-2099
Practice Address - Street 1:15522 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4024
Practice Address - Country:US
Practice Address - Phone:216-544-4840
Practice Address - Fax:440-793-2099
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0002284101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health