Provider Demographics
NPI:1023336435
Name:KEMERER-ARCHER, JOELLE L (MA, NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:JOELLE
Middle Name:L
Last Name:KEMERER-ARCHER
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1644 BROAD STREET
Mailing Address - Street 2:WELLIFE, LLC
Mailing Address - City:SOUTH GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-853-8944
Mailing Address - Fax:724-853-8944
Practice Address - Street 1:1644 BROAD STREET
Practice Address - Street 2:WELLIFE, LLC
Practice Address - City:SOUTH GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-853-8944
Practice Address - Fax:724-853-8944
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA219884101Y00000X
PAPC005383101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor