Provider Demographics
NPI:1851974596
Name:ATKINSON, CARISSA DAWN (LPC)
Entity type:Individual
Prefix:
First Name:CARISSA
Middle Name:DAWN
Last Name:ATKINSON
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 1:620 N SAINT CLAIR ST APT 7N
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-2491
Mailing Address - Country:US
Mailing Address - Phone:412-526-3563
Mailing Address - Fax:
Practice Address - Street 1:620 N SAINT CLAIR ST APT 7N
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-2491
Practice Address - Country:US
Practice Address - Phone:412-526-3563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017230101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor