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Provider Information for 1174119275


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RODNEY STEVEN KERR LPC


Sex: Male

NPI: 1174119275
Last Updated: 2020-12-14
Certification Date: 2020-12-14

Details

NameValue
NPI1174119275
Enumeration Date2020-12-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 346 BROOKWOOD DR
SALISBURY, NC 28146
United States

Phone: 704-798-3922 | Fax:
 
Primary Practice Address 104 N DANIEL MORGAN AVE
SUITE 103
SPARTANBURG, SC 29306
United States

Phone: 704-577-5862 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - ProfessionalSC1366
Yes 101YP1600X - Counselor - Pastoral