Individual
DR. JESSICA A KERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7320 GARDEN LN, PORTAGE, MI 49002-4423
(269) 612-4322
Mailing address
7862 PRIMROSE LN, PORTAGE, MI 49024-4966
(269) 569-2216
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301015083
MI
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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