Provider Demographics
NPI:1952430761
Name:WERNER, KAREN S (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:WERNER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5881 MILLSTONE LN
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-1811
Mailing Address - Country:US
Mailing Address - Phone:404-906-3992
Mailing Address - Fax:770-390-0877
Practice Address - Street 1:1 DUNWOODY PARK
Practice Address - Street 2:SUITE 140
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-7404
Practice Address - Country:US
Practice Address - Phone:770-395-7301
Practice Address - Fax:770-390-0877
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001984101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional