Provider Demographics
NPI:1821677048
Name:LAMMERS, KATHERINE JORN (LMFT, LCMFT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JORN
Last Name:LAMMERS
Suffix:
Gender:F
Credentials:LMFT, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 HASKELL AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-3249
Mailing Address - Country:US
Mailing Address - Phone:510-200-8582
Mailing Address - Fax:
Practice Address - Street 1:2001 HASKELL AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-3249
Practice Address - Country:US
Practice Address - Phone:510-200-8582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116359106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist