Provider Demographics
NPI:1538486105
Name:WOOD, KAREN A (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:WOOD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:DECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 BRIXHAM PL
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-4004
Mailing Address - Country:US
Mailing Address - Phone:847-466-2710
Mailing Address - Fax:847-466-2711
Practice Address - Street 1:104 BRIXHAM PL
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-4004
Practice Address - Country:US
Practice Address - Phone:847-466-2710
Practice Address - Fax:847-466-2711
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.001700101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor