Individual
JEAN MCKERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
902-A SIXTH STREET, LA GRANDE, OR 97850
(541) 962-5326
Mailing address
PO BOX 1146, LA GRANDE, OR 97850-6146
(541) 962-5326
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1202
OR
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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