Individual
DANA KERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., AMFT 124596
Contact information
Practice address
2750 S HARBOR BLVD STE G, SANTA ANA, CA 92704-5820
(626) 643-5378
Mailing address
2750 S HARBOR BLVD STE G, SANTA ANA, CA 92704-5820
(626) 643-5378
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
300659BP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8864690
SUBSTANCE ABUSE
CA
Enumeration date
04/19/2021
Last updated
04/19/2021
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