Provider Demographics
NPI:1619278777
Name:KERR, ANNE JEANET (PHD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:JEANET
Last Name:KERR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:JEANET
Other - Last Name:KERR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 1787
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-0261
Mailing Address - Country:US
Mailing Address - Phone:541-500-8655
Mailing Address - Fax:
Practice Address - Street 1:715 SW RAMSEY AVE
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-5500
Practice Address - Country:US
Practice Address - Phone:541-295-3072
Practice Address - Fax:541-295-3074
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health