MEDICARE: DANIELLE KARKOS LCPC

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	XL4480	ME
2	101YP2500X	Professional Counselor	CC5511	ME

General Provider Information

NPI Number	:	1639552961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE KARKOS LCPC

Provider Business Mailing Address
First Line	:	584 BARKER RD
Second Line	:
City	:	NEW VINEYARD
State	:	ME
Zip	:	04956-3341
Country	:	US
Telephone Number	:	207-860-0845
Fax Number	:

Provider Business Practice Location Address
First Line	:	129 SEAMON RD
Second Line	:
City	:	FARMINGTON
State	:	ME
Zip	:	04938-6336
Country	:	US
Telephone Number	:	207-778-3561
Fax Number	:

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

Provider Enumeration Date	:	07/06/2015
Last Update Date	:	02/09/2026

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Directions to “ DANIELLE KARKOS LCPC” Practice Location

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