Individual
MRS. JESSICA L KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LAC
Contact information
Practice address
6767 29TH ST, GREELEY, CO 80634-5474
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1787
CO
101YM0800X
Mental Health Counselor
9923373
CO
Other
Enumeration date
01/17/2013
Last updated
05/10/2021
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