Provider Demographics
NPI:1619274875
Name:KERKMAN, JAMEE S (LCPC)
Entity Type:Individual
Prefix:
First Name:JAMEE
Middle Name:S
Last Name:KERKMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:JAMEE
Other - Middle Name:S
Other - Last Name:ADKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:PO BOX 841
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-0841
Mailing Address - Country:US
Mailing Address - Phone:630-204-1101
Mailing Address - Fax:630-618-3667
Practice Address - Street 1:123 W WASHINGTON ST
Practice Address - Street 2:SUITE 220
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8214
Practice Address - Country:US
Practice Address - Phone:630-204-1101
Practice Address - Fax:630-618-3667
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008412101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health