Provider Demographics
NPI:1376056036
Name:KAMMER, DESSIE ANN (LMHC, LCPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:DESSIE
Middle Name:ANN
Last Name:KAMMER
Suffix:
Gender:F
Credentials:LMHC, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2646 HIGHWAY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1661
Mailing Address - Country:US
Mailing Address - Phone:219-209-2159
Mailing Address - Fax:
Practice Address - Street 1:2646 HIGHWAY AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1661
Practice Address - Country:US
Practice Address - Phone:219-209-2159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-15
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.013212101YP2500X
IN39003145A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional