Provider Demographics
NPI:1386492528
Name:JAMES, KAREN ANDREA (NCC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANDREA
Last Name:JAMES
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5677 ROUTE 115 # 84
Mailing Address - Street 2:
Mailing Address - City:BLAKESLEE
Mailing Address - State:PA
Mailing Address - Zip Code:18610-9487
Mailing Address - Country:US
Mailing Address - Phone:610-257-7465
Mailing Address - Fax:
Practice Address - Street 1:5677 ROUTE 115 # 84
Practice Address - Street 2:
Practice Address - City:BLAKESLEE
Practice Address - State:PA
Practice Address - Zip Code:18610-9487
Practice Address - Country:US
Practice Address - Phone:610-257-7465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health