Provider Demographics
NPI:1740515733
Name:KARNOFF, KATHLEEN JO (ABD)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:JO
Last Name:KARNOFF
Suffix:
Gender:F
Credentials:ABD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 CAPOUSE AVE.
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18509
Mailing Address - Country:US
Mailing Address - Phone:570-586-6020
Mailing Address - Fax:570-585-1866
Practice Address - Street 1:120 NORTH ABINGTON ROAD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-2023
Practice Address - Country:US
Practice Address - Phone:570-586-6020
Practice Address - Fax:570-585-1866
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004933101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional