Provider Demographics
NPI:1982213690
Name:WEISS, KAREN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WEISS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 47
Mailing Address - Street 2:
Mailing Address - City:POCONO SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18346-0047
Mailing Address - Country:US
Mailing Address - Phone:570-690-4350
Mailing Address - Fax:
Practice Address - Street 1:3041 ROUTE 940 UNIT 106
Practice Address - Street 2:
Practice Address - City:MOUNT POCONO
Practice Address - State:PA
Practice Address - Zip Code:18344-1187
Practice Address - Country:US
Practice Address - Phone:272-219-0844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012539101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional