Provider Demographics
NPI:1952733891
Name:O'BRIEN-MAYNARD, KAREN (LPC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:O'BRIEN-MAYNARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 PAXINOSA RD W
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-1322
Mailing Address - Country:US
Mailing Address - Phone:610-216-7228
Mailing Address - Fax:
Practice Address - Street 1:340 PAXINOSA RD W
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-1322
Practice Address - Country:US
Practice Address - Phone:610-216-7228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00050600101Y00000X
PAPC006916101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor