Healthcare Provider Details

I. General information

NPI: 1902003288
Provider Name (Legal Business Name): ALLISON KREBS KOCHERT MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 KINGSTON RD SUITE 211
YORK PA
17402-3735
US

IV. Provider business mailing address

2550 KINGSTON RD SUITE 211
YORK PA
17402-3735
US

V. Phone/Fax

Practice location:
  • Phone: 717-755-5736
  • Fax: 717-581-5259
Mailing address:
  • Phone: 717-755-5736
  • Fax: 717-581-5259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004602
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: