Provider Demographics
NPI:1306281647
Name:KRAMER, JILL LAURA (LMHC)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:LAURA
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16801 LAKEVILLE XING
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-8210
Mailing Address - Country:US
Mailing Address - Phone:206-939-0126
Mailing Address - Fax:
Practice Address - Street 1:2727 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-3541
Practice Address - Country:US
Practice Address - Phone:317-975-0985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60625096101YM0800X
IN39004031A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health