Provider Demographics
NPI:1619431350
Name:OKSIENIK, KERIN (LPC, CAADC)
Entity Type:Individual
Prefix:
First Name:KERIN
Middle Name:
Last Name:OKSIENIK
Suffix:
Gender:F
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BROOKSIDE RD STE 230
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9021
Mailing Address - Country:US
Mailing Address - Phone:484-263-0197
Mailing Address - Fax:
Practice Address - Street 1:1424 DAYSPRING DR STE 230
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9488
Practice Address - Country:US
Practice Address - Phone:484-263-0197
Practice Address - Fax:267-627-9015
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA12502101YA0400X
PAPC010525101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)