Provider Demographics
NPI:1780442764
Name:KREAM, JERAMIE-ANNE ALMARIO (LPC-IT)
Entity type:Individual
Prefix:MRS
First Name:JERAMIE-ANNE
Middle Name:ALMARIO
Last Name:KREAM
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:MISS
Other - First Name:JERAMIE-ANNE
Other - Middle Name:ALMARIO
Other - Last Name:TANEDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3247 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53083-3647
Mailing Address - Country:US
Mailing Address - Phone:719-728-0735
Mailing Address - Fax:
Practice Address - Street 1:1108 S WILDWOOD AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4765
Practice Address - Country:US
Practice Address - Phone:920-377-3770
Practice Address - Fax:920-377-3747
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7464-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional