Provider Demographics
NPI:1598896706
Name:DONOUGHE, KAREN ANNE (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE
Last Name:DONOUGHE
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANNE
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2867 DEARBORN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4302
Mailing Address - Country:US
Mailing Address - Phone:248-321-9425
Mailing Address - Fax:
Practice Address - Street 1:115 WALNUT BLVD
Practice Address - Street 2:# 200
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-2086
Practice Address - Country:US
Practice Address - Phone:248-321-9425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010264101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor