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NPI Code Detail

MEDICARE: KAREN CHARLESTON

MEDICARE:   KAREN  CHARLESTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorAPC001879PA

General Provider Information

NPI Number : 1083577993
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN CHARLESTON
Provider Business Mailing Address
First Line : 165 WHEATSTONE LN
Second Line :
City : LEBANON
State : PA
Zip : 17042-7669
Country : US
Telephone Number : 717-222-6072
Fax Number :
Provider Business Practice Location Address
First Line : 746 CUMBERLAND ST
Second Line :
City : LEBANON
State : PA
Zip : 17042-5236
Country : US
Telephone Number : 717-222-6072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ KAREN CHARLESTON ” Practice Location

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