Provider Demographics
NPI:1336672229
Name:LAMMERS, JASMINE JAIME (LPC)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:JAIME
Last Name:LAMMERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:WALTER
Other - Last Name:LAMMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:5445 MOENNING RD
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-8567
Mailing Address - Country:US
Mailing Address - Phone:920-912-8718
Mailing Address - Fax:
Practice Address - Street 1:980 MARITIME DR STE 6
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-2962
Practice Address - Country:US
Practice Address - Phone:920-912-8718
Practice Address - Fax:920-733-6565
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3139101YM0800X
WI7054-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health