Provider Demographics
NPI:1336395045
Name:HILBERT, KERRI JEAN (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:JEAN
Last Name:HILBERT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:KERRI
Other - Middle Name:JEAN
Other - Last Name:KRUEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3610 N CHOUTEAU TRFY
Mailing Address - Street 2:APT. C
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64117-2696
Mailing Address - Country:US
Mailing Address - Phone:816-236-2475
Mailing Address - Fax:
Practice Address - Street 1:724 N 22ND ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2604
Practice Address - Country:US
Practice Address - Phone:816-236-2475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013002079101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health