Provider Demographics
NPI:1861643587
Name:SHIRK, JOELLE L (MS, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JOELLE
Middle Name:L
Last Name:SHIRK
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 N PHEASANT WAY
Mailing Address - Street 2:
Mailing Address - City:ABBOTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17301-9539
Mailing Address - Country:US
Mailing Address - Phone:717-479-2048
Mailing Address - Fax:
Practice Address - Street 1:1000 CARLISLE ST STE 2225
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1156
Practice Address - Country:US
Practice Address - Phone:717-479-2048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004953101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional