Provider Demographics
NPI:1528840899
Name:KERBER, LAURA EVE (MSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:EVE
Last Name:KERBER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:EVE
Other - Last Name:ZAMBELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:966 SEMINOLE DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-2528
Mailing Address - Country:US
Mailing Address - Phone:630-337-6190
Mailing Address - Fax:
Practice Address - Street 1:55 E CRYSTAL LAKE AVE
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-6151
Practice Address - Country:US
Practice Address - Phone:815-522-1719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty