Provider Demographics
NPI:1922877877
Name:JAMA, AMINA A I
Entity Type:Individual
Prefix:
First Name:AMINA
Middle Name:A
Last Name:JAMA
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 HAU DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3279
Mailing Address - Country:US
Mailing Address - Phone:614-975-3284
Mailing Address - Fax:614-388-5833
Practice Address - Street 1:2907 HAU DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3279
Practice Address - Country:US
Practice Address - Phone:614-975-3284
Practice Address - Fax:614-388-5833
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty