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NPI Code Detail

MEDICARE: MS. KARA DIANNE EBERLE-JONES LCSW

MEDICARE: MS. KARA DIANNE EBERLE-JONES LCSW
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social WorkerCW021212PA

General Provider Information

NPI Number : 1407138092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARA DIANNE EBERLE-JONES LCSW
Provider Business Mailing Address
First Line : 273 E 7TH ST
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-2853
Country : US
Telephone Number : 570-847-4623
Fax Number :
Provider Business Practice Location Address
First Line : 273 E 7TH ST
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-2853
Country : US
Telephone Number : 570-507-7170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2011
Last Update Date : 04/23/2025

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