Healthcare Provider Details

I. General information

NPI: 1003329889
Provider Name (Legal Business Name): COUNTY OF KERN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2017
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 34TH STREET SUITE 100,201,202, 203
BAKERSFIELD CA
93301
US

IV. Provider business mailing address

PO BOX 1000
BAKERSFIELD CA
93302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 661-862-7370
  • Fax: 661-323-3001
Mailing address:
  • Phone: 661-868-6601
  • Fax: 661-861-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALISON BURROWES
Title or Position: DIRECTOR
Credential: MA. , LCSW
Phone: 661-868-6601