Healthcare Provider Details

I. General information

NPI: 1366193617
Provider Name (Legal Business Name): JENNIFER KERR LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CARNEGIE CTR STE 150
PRINCETON NJ
08540-6285
US

IV. Provider business mailing address

300 CARNEGIE CTR STE 150
PRINCETON NJ
08540-6285
US

V. Phone/Fax

Practice location:
  • Phone: 732-575-3429
  • Fax:
Mailing address:
  • Phone: 732-575-3429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01195500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: