Individual
MATTHEW JOSEPH MCKERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
11 WOODS RD, MOUNT DESERT, ME 04660-6126
(510) 289-0203
Mailing address
11 WOODS RD, MOUNT DESERT, ME 04660-6126
(510) 289-0203
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
112945
CA
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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