Provider Demographics
NPI:1326023276
Name:CLEARY, KARYL LYNN (MA LPC LCADC)
Entity Type:Individual
Prefix:
First Name:KARYL
Middle Name:LYNN
Last Name:CLEARY
Suffix:
Gender:F
Credentials:MA LPC LCADC
Other - Prefix:
Other - First Name:KARYL
Other - Middle Name:L
Other - Last Name:CASTIGLIONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC LCADC
Mailing Address - Street 1:736 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017
Mailing Address - Country:US
Mailing Address - Phone:610-419-2513
Mailing Address - Fax:
Practice Address - Street 1:492 RT 57 WEST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882
Practice Address - Country:US
Practice Address - Phone:908-689-1000
Practice Address - Fax:908-689-4529
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00019700101YA0400X
NJ37PC00059600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
2321502000OtherAMERIHEALTH
198574OtherMHN