Provider Demographics
NPI:1043855117
Name:MEDERO, ARIANE (MS, CT, ATR-BC, LPC)
Entity type:Individual
Prefix:MS
First Name:ARIANE
Middle Name:
Last Name:MEDERO
Suffix:
Gender:F
Credentials:MS, CT, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 MONROE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-1744
Mailing Address - Country:US
Mailing Address - Phone:570-972-0838
Mailing Address - Fax:
Practice Address - Street 1:814 MONROE ST STE 101
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-1744
Practice Address - Country:US
Practice Address - Phone:570-972-0838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health