Provider Demographics
NPI:1225299498
Name:KIRN, JENNY (MA)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:
Last Name:KIRN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:344 WHITE OAK LN
Mailing Address - Street 2:
Mailing Address - City:LEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:19533
Mailing Address - Country:US
Mailing Address - Phone:570-216-2764
Mailing Address - Fax:484-221-9130
Practice Address - Street 1:697 READING AVENUE
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:18102-5117
Practice Address - Country:US
Practice Address - Phone:570-216-2764
Practice Address - Fax:484-221-9130
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health