Individual
MS. JENNIFER DEE KERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1740 E 17TH ST STE A, IDAHO FALLS, ID 83404-6375
(208) 346-7500
(208) 346-7501
Mailing address
1740 E 17TH ST STE A, IDAHO FALLS, ID 83404-6375
(208) 346-7500
(208) 346-7501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 770
ID
101YS0200X
School Counselor
LCPC 770
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144315722
—
ID
Enumeration date
10/03/2006
Last updated
11/04/2011
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