Provider Demographics
NPI:1528273380
Name:TREVARTHEN WOCHER, KAREN JEAN (LISW CCDCIII FORENSI)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JEAN
Last Name:TREVARTHEN WOCHER
Suffix:
Gender:F
Credentials:LISW CCDCIII FORENSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2885 BRAMPTON ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251
Mailing Address - Country:US
Mailing Address - Phone:513-742-0677
Mailing Address - Fax:513-853-6587
Practice Address - Street 1:2885 BRAMPTON ROAD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251
Practice Address - Country:US
Practice Address - Phone:513-853-6582
Practice Address - Fax:513-853-6587
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1.0010307101Y00000X
INF16510101Y00000X
OH071017101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)