Kerner, Jennifer Dee

Kerner, Jennifer Dee is an sole proprietor health care provider with primary practice located at 1740 E 17Th St Ste A , Idaho Falls ID 83404-6375. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kerner, Jennifer Dee can be contacted via phone (208) 346-7500.

Contact Information

Primary practice address
1740 E 17Th St Ste A Idaho Falls ID 83404-6375
Phone: (208) 346-7500
Fax: (208) 346-7501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC 770 Idaho
Behavioral Health & Social Service Providers / School 101YS0200X LCPC 770 Idaho

Profile Details

NPI number 1144315722
LBN Legal business name Kerner, Jennifer Dee
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Nov 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144315722 NPPES
Idaho MEDICAID 1144315722

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