Organization
KERNER COUNSELING AND CONSULTATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DEE KERNER LCPC, NCC (CLINICAL DIRECTOR)
(208) 589-3610
Entity
Organization
Contact information
Practice address
1382 N 1200 E, SHELLEY, ID 83274-5151
(208) 589-3610
Mailing address
1382 N 1200 E, SHELLEY, ID 83274-5151
(208) 589-3610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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