Provider Demographics
NPI:1225653975
Name:HAMMOND, JENNIFER L (CDCA II)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:L
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:CDCA II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:878 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1158
Mailing Address - Country:US
Mailing Address - Phone:234-678-5941
Mailing Address - Fax:
Practice Address - Street 1:878 W MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1158
Practice Address - Country:US
Practice Address - Phone:234-678-5941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)