Kersten, Amy E
Kersten, Amy E is an individual health care provider with primary practice located at 119 N Benton St , Waynesville MO 65583-2501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kersten, Amy E can be contacted via phone (573) 433-2833.Contact Information
Primary practice address
119 N Benton St
Waynesville MO 65583-2501
Phone: (573) 433-2833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 536 | Alaska |
Profile Details
| NPI number | 1366401408 |
|---|---|
| LBN Legal business name | Kersten, Amy E |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Mar 8th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366401408 | NPPES |
| Alaska | MEDICAID | MH8832 |
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