Individual
KRISTEN MACNEILL KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8767 SEMINOLE TRL STE 101, RUCKERSVILLE, VA 22968-3494
(434) 990-1744
(434) 939-9401
Mailing address
2490 SPRING BROOK DR, CHARLOTTESVILLE, VA 22901-8996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
0904010090
VA
Other
Enumeration date
03/29/2022
Last updated
02/29/2024
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