Individual
JACK BRIAN KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, PC
Contact information
Practice address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 255-1700
(440) 205-2417
Mailing address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 255-1700
(440) 205-2417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C 0602132
OH
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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