Provider Demographics
NPI:1356851554
Name:KERNS, COURTNEY MARIE (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:MARIE
Last Name:KERNS
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:MARIE
Other - Last Name:HUFFMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:540 N SAMUEL DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1519
Mailing Address - Country:US
Mailing Address - Phone:614-402-2106
Mailing Address - Fax:
Practice Address - Street 1:3814 JAMES CT
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-0965
Practice Address - Country:US
Practice Address - Phone:740-454-7119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0600345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health