Individual
MS. CARA JEAN KERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LAADC
Contact information
Practice address
412 RED HILL AVE STE 5, SAN ANSELMO, CA 94960-2468
(415) 295-6438
Mailing address
117 SCENIC RD, FAIRFAX, CA 94930-1556
(918) 718-9004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RALR11101214
CA
101YM0800X
Mental Health Counselor
Primary
8071
CA
101YP2500X
Professional Counselor
8071
CA
Other
Enumeration date
08/25/2008
Last updated
01/18/2022
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