Provider Demographics
NPI:1770990053
Name:GORSKI, CAROLYN (MA, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:
Last Name:GORSKI
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 S. CEDAR CREST BLVD.
Mailing Address - Street 2:SUITE 211-D
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6212
Mailing Address - Country:US
Mailing Address - Phone:610-432-5066
Mailing Address - Fax:
Practice Address - Street 1:1251 S. CEDAR CREST BLVD.
Practice Address - Street 2:SUITE 211-D
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6212
Practice Address - Country:US
Practice Address - Phone:610-432-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-17
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007641101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional