Provider Demographics
NPI:1275105413
Name:KAMMES, REBECCA (LMFT)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:KAMMES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42W351 FOXFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-7902
Mailing Address - Country:US
Mailing Address - Phone:630-479-3235
Mailing Address - Fax:
Practice Address - Street 1:42W351 FOXFIELD DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-7902
Practice Address - Country:US
Practice Address - Phone:630-479-3235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001614106H00000X
MI4101006992106H00000X
CALMFT142752106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist