Provider Demographics
NPI:1023667383
Name:KENIEN, NICHOLAS (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:KENIEN
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 HILLCROFT LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4026
Mailing Address - Country:US
Mailing Address - Phone:717-668-1801
Mailing Address - Fax:
Practice Address - Street 1:1330 HILLCROFT LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4026
Practice Address - Country:US
Practice Address - Phone:717-668-1801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional