Doctor Name: | KAREN HOLCOMB |
NPI Number: | 1639481633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | |
Business Practice Address: | 639 Main St Avoca, PA - 186411558 |
Business Phone Number: | 5704767704 |
Business Fax Number: | 5704213600 |
Mailing Address: | 1385 Pocono Blvd, MOUNT POCONO |
State: | PA |
Postal Code: | 183441678 |
Phone Number: | 5704767704 |
Fax Number: | 5704213600 |
NPI Enumeration Date: | 07/07/2010 |
NPI Last Update Date: | 12/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |