Provider Demographics
NPI:1639965023
Name:MCFADDEN, KYRA VERNITA (LPC)
Entity type:Individual
Prefix:
First Name:KYRA
Middle Name:VERNITA
Last Name:MCFADDEN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 GEORGE ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-1154
Mailing Address - Country:US
Mailing Address - Phone:484-666-2519
Mailing Address - Fax:
Practice Address - Street 1:1011 GEORGE ST APT 2B
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-1154
Practice Address - Country:US
Practice Address - Phone:484-666-2519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA018473101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional