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: |