Individual
DR. MARIE G. KERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4199 CAMPUS DR STE 550, IRVINE, CA 92612-4694
(949) 285-5199
Mailing address
4199 CAMPUS DR STE 550, IRVINE, CA 92612-4694
(949) 285-5199
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFC 50443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-2358183
TAX ID #
CA
Enumeration date
01/03/2012
Last updated
01/03/2012
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