Provider Demographics
NPI:1720442395
Name:THOBEN, KAREN (LCPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:THOBEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12073 TECH RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7873
Mailing Address - Country:US
Mailing Address - Phone:240-396-5836
Mailing Address - Fax:301-681-4699
Practice Address - Street 1:12073 TECH RD
Practice Address - Street 2:SUITE B
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7873
Practice Address - Country:US
Practice Address - Phone:240-396-5836
Practice Address - Fax:301-681-4699
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0266101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional