Provider Demographics
NPI:1548394745
Name:MORTON, KARA GUINN (CI)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:GUINN
Last Name:MORTON
Suffix:
Gender:F
Credentials:CI
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:CHAMBLESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CI
Mailing Address - Street 1:2359 KNOLLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1525
Mailing Address - Country:US
Mailing Address - Phone:216-260-1405
Mailing Address - Fax:330-632-8823
Practice Address - Street 1:2359 KNOLLWOOD AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-1525
Practice Address - Country:US
Practice Address - Phone:216-260-1405
Practice Address - Fax:330-632-8823
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)