Basic Information
Provider Information
NPI: 1376978981
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KERCHER
FirstName: HANNAH
MiddleName: JOY
NamePrefix:  
NameSuffix:  
Credential: B.A., MACP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1756
Address2:  
City: AUBURN
State: WA
PostalCode: 980711756
CountryCode: US
TelephoneNumber: 2532353731
FaxNumber:  
Practice Location
Address1: 1305 17TH ST SE
Address2:  
City: AUBURN
State: WA
PostalCode: 980026934
CountryCode: US
TelephoneNumber: 2532353731
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/13/2013
LastUpdateDate: 02/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XMC60601072WAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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