Provider Demographics
NPI:1710252226
Name:KAREL, JERRI ROBIN
Entity Type:Individual
Prefix:MRS
First Name:JERRI
Middle Name:ROBIN
Last Name:KAREL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JERRI
Other - Middle Name:ROBIN
Other - Last Name:KAREL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:650 GARTH CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3111
Mailing Address - Country:US
Mailing Address - Phone:914-245-5713
Mailing Address - Fax:914-243-0646
Practice Address - Street 1:650 GARTH CT
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-3111
Practice Address - Country:US
Practice Address - Phone:914-245-5713
Practice Address - Fax:914-243-0646
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0612421101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional