Provider Demographics
NPI:1851894562
Name:VERMEER, JASON (MA, LMHC, CADC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:VERMEER
Suffix:
Gender:M
Credentials:MA, LMHC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3451 EASTON BLVD
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-3214
Mailing Address - Country:US
Mailing Address - Phone:515-262-0349
Mailing Address - Fax:
Practice Address - Street 1:3451 EASTON BLVD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-3214
Practice Address - Country:US
Practice Address - Phone:515-262-0349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00318101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health