Provider Demographics
NPI:1457636284
Name:UCHRIN-KROMPHOLD, CAREN (MA, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CAREN
Middle Name:
Last Name:UCHRIN-KROMPHOLD
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PROSPECT LN STE 2D
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-3048
Mailing Address - Country:US
Mailing Address - Phone:732-510-5510
Mailing Address - Fax:
Practice Address - Street 1:15 PROSPECT LN STE 2D
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-3048
Practice Address - Country:US
Practice Address - Phone:732-510-5510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00428600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional