Provider Demographics
NPI:1710904362
Name:RABER, KAREN L (LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:L
Last Name:RABER
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-4737
Mailing Address - Country:US
Mailing Address - Phone:419-557-5177
Mailing Address - Fax:419-557-5179
Practice Address - Street 1:122 W CENTER ST
Practice Address - Street 2:
Practice Address - City:FOSTORIA
Practice Address - State:OH
Practice Address - Zip Code:44830-2201
Practice Address - Country:US
Practice Address - Phone:419-435-0204
Practice Address - Fax:419-436-9846
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0004064101Y00000X
OHE-004064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH248756000OtherMIS # MAGELLAN HEALTH SER
OHE0004064Medicaid