Provider Demographics
NPI:1508966110
Name:KAZARIAN, KAREN A (LMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:KAZARIAN
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 1:7 JACLYN RAE DR
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-3372
Mailing Address - Country:US
Mailing Address - Phone:508-581-9784
Mailing Address - Fax:508-581-9781
Practice Address - Street 1:71 ELM ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2353
Practice Address - Country:US
Practice Address - Phone:508-277-7212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health