Provider Demographics
NPI:1104259472
Name:ALBERT, CAROLINE MARIE (LPC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MARIE
Last Name:ALBERT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 RAYMOND DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2804
Mailing Address - Country:US
Mailing Address - Phone:717-579-3993
Mailing Address - Fax:
Practice Address - Street 1:1 N BACTON HILL RD
Practice Address - Street 2:SUITE 107
Practice Address - City:FRAZER
Practice Address - State:PA
Practice Address - Zip Code:19355-1047
Practice Address - Country:US
Practice Address - Phone:610-529-1579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006741101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional