Provider Demographics
NPI:1922211747
Name:KERR, EILEEN KERSENS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:KERSENS
Last Name:KERR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WOMEN'S CENTER
Mailing Address - Street 2:8230 OLD COURTHOUSE RD SUITE 500
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182
Mailing Address - Country:US
Mailing Address - Phone:703-281-4828
Mailing Address - Fax:703-242-1454
Practice Address - Street 1:WOMEN'S CENTER
Practice Address - Street 2:8230 OLD COURTHOUSE RD SUITE 500
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182
Practice Address - Country:US
Practice Address - Phone:703-281-4828
Practice Address - Fax:703-242-1454
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002060101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor