Provider Demographics
NPI:1639552961
Name:KARKOS, DANIELLE (LCPC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:KARKOS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 BARKER RD
Mailing Address - Street 2:
Mailing Address - City:NEW VINEYARD
Mailing Address - State:ME
Mailing Address - Zip Code:04956-3341
Mailing Address - Country:US
Mailing Address - Phone:207-860-0845
Mailing Address - Fax:
Practice Address - Street 1:129 SEAMON RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-6336
Practice Address - Country:US
Practice Address - Phone:207-778-3561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-06
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC5511101YP2500X
MEXL4480101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional