MEDICARE: KAREN MARIE WEIGLE

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
1	101YP2500X	Professional Counselor	PC004849	PA

General Provider Information

NPI Number	:	1366390007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MARIE WEIGLE

Provider Business Mailing Address
First Line	:	242 LONGFELLOW DR
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-4016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 LONGFELLOW DR
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-4016
Country	:	US
Telephone Number	:	717-538-9027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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