Individual
BETHANY KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W HIGH ST # 729, MOORPARK, CA 93021-1113
(805) 270-3901
Mailing address
100 W HIGH ST # 729, MOORPARK, CA 93021-1113
(805) 270-3901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
10/03/2024
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