Provider Demographics
NPI:1750454468
Name:POWER, CAROL J (LPC, NCC,CCMHC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:POWER
Suffix:
Gender:F
Credentials:LPC, NCC,CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4559 OLD WILLIAM COUNSELING ASSOCIATES
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668
Mailing Address - Country:US
Mailing Address - Phone:724-733-7344
Mailing Address - Fax:
Practice Address - Street 1:4559 OLD WILLIAM COUNSELING ASSOCIATES
Practice Address - Street 2:SUITE 100
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668
Practice Address - Country:US
Practice Address - Phone:724-733-7344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001936101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health