MEDICARE: MS. TERRI L. KERN LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E.1800958	OH

General Provider Information

NPI Number	:	1790228617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TERRI L. KERN LPCC

Provider Business Mailing Address
First Line	:	3608 ORCHARD TRAIL DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1149
Country	:	US
Telephone Number	:	419-202-4137
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E CAMPUS VIEW BLVD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-4678
Country	:	US
Telephone Number	:	833-934-3573
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2016
Last Update Date	:	01/06/2022

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