Provider Demographics
NPI:1609179431
Name:KERN COUNTY MENTAL HEALTH
Entity Type:Organization
Organization Name:KERN COUNTY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECOVERY SPECIALIST II
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-868-5004
Mailing Address - Street 1:5121 STOCKDALE HWY STE 275
Mailing Address - Street 2:5121 STOCKDALE HWY SUITE #275
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2667
Mailing Address - Country:US
Mailing Address - Phone:661-868-5004
Mailing Address - Fax:661-836-8834
Practice Address - Street 1:5121 STOCKDALE HWY STE 275
Practice Address - Street 2:5121 STOCKDALE HWY SUITE #275
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2667
Practice Address - Country:US
Practice Address - Phone:661-868-5004
Practice Address - Fax:661-836-8834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health