Provider Demographics
NPI:1790267888
Name:JARABECK, KRISTINE (LPC)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:
Last Name:JARABECK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 FLAUGHERTY RUN RD
Mailing Address - Street 2:
Mailing Address - City:MOON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-8900
Mailing Address - Country:US
Mailing Address - Phone:814-573-8585
Mailing Address - Fax:
Practice Address - Street 1:2400 ANSYS DR
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-0403
Practice Address - Country:US
Practice Address - Phone:412-996-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
PAPC007477101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional