Healthcare Provider Details

I. General information

NPI: 1821354150
Provider Name (Legal Business Name): KAREN MICHELLE PALONIS NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2012
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 SPRUCE ST STE 606
SCRANTON PA
18503-1409
US

IV. Provider business mailing address

1724 JACKSON ST
SCRANTON PA
18504-3413
US

V. Phone/Fax

Practice location:
  • Phone: 570-342-1223
  • Fax: 570-354-2099
Mailing address:
  • Phone: 570-342-1223
  • Fax: 570-354-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006283
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: