Provider Demographics
NPI:1316342314
Name:YAREM, JOHN T (MS, NCC, LPC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:T
Last Name:YAREM
Suffix:
Gender:M
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 BIRNEY AVE
Mailing Address - Street 2:
Mailing Address - City:MOOSIC
Mailing Address - State:PA
Mailing Address - Zip Code:18507-1208
Mailing Address - Country:US
Mailing Address - Phone:570-430-0429
Mailing Address - Fax:
Practice Address - Street 1:310 DAVIS ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:PA
Practice Address - Zip Code:18517-1938
Practice Address - Country:US
Practice Address - Phone:570-479-4523
Practice Address - Fax:570-562-3286
Is Sole Proprietor?:No
Enumeration Date:2014-11-03
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006692101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional