Kaye Kernisant, Bachelor Level
Social Worker, Clinical in Jacksonville, FL. Individual provider (NPI-1).
NPI number1568898476
StatusActive
Last updated in NPPESSep 24, 2013
Details
- NPI
- 1568898476
- Entity type
- Individual (NPI-1)
- Name
- Kaye Kernisant
- Credential
- Bachelor Level
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2013
- Last updated
- Sep 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
435 Clark Rd Ste 107Jacksonville, FL 32218-5558
Phone 904-765-0665
Mailing address
14003 Fish Eagle Dr EJacksonville, FL 32226-5851
Phone 904-765-0665
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