Doctor Name: | MS. BRENDA JOYCE KERR |
NPI Number: | 1013972397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LH00003515 |
Business Practice Address: | 10021 Ne 124th St Kirkland, WA - 980346725 |
Business Phone Number: | 4254552960 |
Business Fax Number: | |
Mailing Address: | 20232 Se 19th St, SAMMAMISH |
State: | WA |
Postal Code: | 980759675 |
Phone Number: | 4253920790 |
Fax Number: | 4258378559 |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00003515 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |