Provider Demographics
NPI:1376056036
Name:KAMMER, DESSIE ANN (LMHC, LCPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:DESSIE
Middle Name:ANN
Last Name:KAMMER
Suffix:
Gender:F
Credentials:LMHC, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LACEBARK ST
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-4343
Mailing Address - Country:US
Mailing Address - Phone:219-209-2159
Mailing Address - Fax:
Practice Address - Street 1:300 LACEBARK ST
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-4343
Practice Address - Country:US
Practice Address - Phone:219-209-2159
Practice Address - Fax:219-444-4516
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003145A101YM0800X
IL180.013212101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional