=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639497266
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN STABLEY LPC/MCAT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2010
-----------------------------------------------------
Last Update Date | 05/06/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 262 E MARKET ST
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17403-2013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-852-9037
-----------------------------------------------------
Fax | 717-852-9037
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 262 E MARKET ST
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17403-2013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-852-9037
-----------------------------------------------------
Fax | 717-852-9037
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | PC000958
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------