Provider Demographics
NPI:1841425071
Name:LEMKE, JENNINE M (MS)
Entity Type:Individual
Prefix:
First Name:JENNINE
Middle Name:M
Last Name:LEMKE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 GAY ST
Mailing Address - Street 2:SUITE #6
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3852
Mailing Address - Country:US
Mailing Address - Phone:610-917-2200
Mailing Address - Fax:
Practice Address - Street 1:601 GAY ST
Practice Address - Street 2:SUITE #6
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3852
Practice Address - Country:US
Practice Address - Phone:610-917-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)