Individual
MRS. TRICIA ANN KERKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
480 PILGRIM WAY # 1300-A, GREEN BAY, WI 54304-5280
(920) 610-5119
(920) 610-5120
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15606-131
WI
101YP2500X
Professional Counselor
Primary
4678
WI
Other
Enumeration date
10/03/2011
Last updated
01/16/2024
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