Provider Demographics
NPI:1851720213
Name:MUSIAL, KAREN MARIE (BA, CADC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MARIE
Last Name:MUSIAL
Suffix:
Gender:F
Credentials:BA, CADC
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:KEHOE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SAME
Mailing Address - Street 1:1601 BOND ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-0113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 BOND ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-0113
Practice Address - Country:US
Practice Address - Phone:630-261-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)