Provider Demographics
NPI:1760765176
Name:O'HARA, ADRIENNE LEIGH (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:LEIGH
Last Name:O'HARA
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:MS
Other - First Name:ADRIENNE
Other - Middle Name:LEIGH
Other - Last Name:OHARA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:31 N NARBERTH AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2347
Mailing Address - Country:US
Mailing Address - Phone:484-343-3317
Mailing Address - Fax:
Practice Address - Street 1:31 N NARBERTH AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2347
Practice Address - Country:US
Practice Address - Phone:484-343-3317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005880101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional