Provider Demographics
NPI:1134484546
Name:RAYBUCK, KARA DANIELLE (LPC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:DANIELLE
Last Name:RAYBUCK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:DANIELLE
Other - Last Name:KIRKPATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:431A PENN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:16242-1113
Mailing Address - Country:US
Mailing Address - Phone:814-227-6614
Mailing Address - Fax:724-543-1898
Practice Address - Street 1:431A PENN ST
Practice Address - Street 2:
Practice Address - City:NEW BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:16242-1113
Practice Address - Country:US
Practice Address - Phone:814-227-6614
Practice Address - Fax:817-484-5004
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006409101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional