Individual
MS. PRISCILLA JUNE KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC, LLMFT
Contact information
Practice address
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 356-6237
(616) 732-6392
Mailing address
40 JEFFERSON AVE NE, GRAND RAPIDS, MI 49503
(616) 356-6237
(616) 732-6392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010716
MI
106H00000X
Marriage & Family Therapist
4101006385
MI
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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