Provider Demographics
NPI:1245544477
Name:KERR, MARSHA A (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:A
Last Name:KERR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-3249
Mailing Address - Country:US
Mailing Address - Phone:252-430-6633
Mailing Address - Fax:919-693-4930
Practice Address - Street 1:120 ORANGE ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3249
Practice Address - Country:US
Practice Address - Phone:252-430-6633
Practice Address - Fax:919-693-4930
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC006818101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor