Individual
JEFFREY LYNN KERN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
888 WILLOW ST, RENO, NV 89502-1304
(775) 384-1129
(775) 300-7068
Mailing address
888 WILLOW ST RENO NV 89502, RENO, NV 89502-5033
(775) 501-8655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IC-1631
MT
104100000X
Social Worker
8842-S
NV
1041C0700X
Clinical Social Worker
Primary
10314-C
NV
1041C0700X
Clinical Social Worker
IC-1631
NV
Other
Enumeration date
10/16/2020
Last updated
02/05/2024
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