Provider Demographics
NPI:1457726366
Name:KREIMER, JENNIFER (LCMHC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:KREIMER
Suffix:
Gender:
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 COMMONWEALTH CT STE B
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4437
Mailing Address - Country:US
Mailing Address - Phone:919-880-6643
Mailing Address - Fax:
Practice Address - Street 1:102 COMMONWEALTH CT STE B
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4437
Practice Address - Country:US
Practice Address - Phone:919-880-6643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-02
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10933101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor