Organization
KERI FERNALD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI R FERNALD (OWNER)
(802) 661-8259
Entity
Organization
Contact information
Practice address
154 EMERYS BRIDGE RD, SOUTH BERWICK, ME 03908-1904
(802) 661-8259
Mailing address
154 EMERYS BRIDGE RD, SOUTH BERWICK, ME 03908-1904
(802) 661-8259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1013
NH
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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