Provider Demographics
NPI:1821767351
Name:KERN BEHAVIORAL HEALTH AND RECOVERY SERVICES
Entity Type:Organization
Organization Name:KERN BEHAVIORAL HEALTH AND RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:LIMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-906-6388
Mailing Address - Street 1:17635 INDUSTRIAL FARM RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-9520
Mailing Address - Country:US
Mailing Address - Phone:661-391-7845
Mailing Address - Fax:
Practice Address - Street 1:17635 INDUSTRIAL FARM RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-9520
Practice Address - Country:US
Practice Address - Phone:661-391-7845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty