Most Relevant Information
Provider Data
| NPI Number: | 1003543471 |
| Provider Name: | THERESA M KERNER MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 10817-125 |
Most Important Dates
| Enumeration Date: | 08/04/2022 |
| Last Updated: | 01/17/2024 |
Provider Practice Location
405 E FOREST ST
OCONOMOWOC
WI
530663707
Practice Location Phone/Fax
| Phone: | 2626611759 |
| Fax: |
Provider Mailing Location
405 E FOREST ST
OCONOMOWOC
WI
530663707
Provider Mailing Phone/Fax
| Phone: | 2626611759 |
| Fax: |