| Doctor Name: | STEPHANIE L KERSHESKEY |
| NPI Number: | 1275832750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | LC3871 |
| Business Practice Address: | 1425 Liberty Rd Suite 208 Eldersburg, MD - 217846420 |
| Business Phone Number: | 4105520773 |
| Business Fax Number: | 4105520774 |
| Mailing Address: | 261 N Franklin St, Apt 421 HANOVER |
| State: | PA |
| Postal Code: | 173312458 |
| Phone Number: | 4105493196 |
| Fax Number: | 4105493197 |
| NPI Enumeration Date: | 03/23/2011 |
| NPI Last Update Date: | 03/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC3871 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |