Provider Demographics
NPI:1477142545
Name:JENNIFER KAMER, MA, LPC, LLC
Entity Type:Organization
Organization Name:JENNIFER KAMER, MA, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-446-4089
Mailing Address - Street 1:1297 OLD STONE DR
Mailing Address - Street 2:
Mailing Address - City:O'FALLEN
Mailing Address - State:MO
Mailing Address - Zip Code:63368
Mailing Address - Country:US
Mailing Address - Phone:314-445-4089
Mailing Address - Fax:
Practice Address - Street 1:1297 OLD STONE DR
Practice Address - Street 2:
Practice Address - City:O'FALLEN
Practice Address - State:MO
Practice Address - Zip Code:63368
Practice Address - Country:US
Practice Address - Phone:314-445-4089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty