Provider Demographics
NPI:1679802250
Name:REAP, KAREN ANNE (MS, LPC, CAC, CCDP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE
Last Name:REAP
Suffix:
Gender:F
Credentials:MS, LPC, CAC, CCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 WASHINGTON PL
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-3201
Mailing Address - Country:US
Mailing Address - Phone:814-933-2867
Mailing Address - Fax:
Practice Address - Street 1:141 E FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-5315
Practice Address - Country:US
Practice Address - Phone:814-234-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001929101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional