Provider Demographics
NPI:1902004724
Name:VERNER, KATHRYN (LMHC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:VERNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 TONEY PENNA DR
Mailing Address - Street 2:SUITE100
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5755
Mailing Address - Country:US
Mailing Address - Phone:561-575-0575
Mailing Address - Fax:561-575-4649
Practice Address - Street 1:175 TONEY PENNA DR
Practice Address - Street 2:SUITE100
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5755
Practice Address - Country:US
Practice Address - Phone:561-575-0575
Practice Address - Fax:561-575-4649
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6780101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional