Watkins, Karen Theresa

Watkins, Karen Theresa is an individual health care provider with primary practice located at 346 Taft Ave Suite 030, Glen Ellyn IL 60137-6296. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Watkins, Karen Theresa can be contacted via phone (630) 740-5351.

Contact Information

Primary practice address
346 Taft Ave Suite 030 Glen Ellyn IL 60137-6296
Fax: (630) 985-6527
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-000944 Illinois

Profile Details

NPI number 1578668521
LBN Legal business name Watkins, Karen Theresa
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated May 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578668521 NPPES
Illinois Other 180-000944 STATE LICENSE

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