Provider Demographics
NPI:1326873563
Name:KERCHERSKY, JASON BRENDON (LPC)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:BRENDON
Last Name:KERCHERSKY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 RIEGER RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-0280
Mailing Address - Country:US
Mailing Address - Phone:724-256-6300
Mailing Address - Fax:
Practice Address - Street 1:107 RIEGER RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-0280
Practice Address - Country:US
Practice Address - Phone:724-256-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty