Provider Demographics
NPI:1396111399
Name:COLE, KARINA (LMHC)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 PRINCESS CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-3800
Mailing Address - Country:US
Mailing Address - Phone:413-627-4754
Mailing Address - Fax:
Practice Address - Street 1:141 E 35TH ST
Practice Address - Street 2:GROUND FLOOR J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4103
Practice Address - Country:US
Practice Address - Phone:646-481-8529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006716-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health