Individual
JESSICA CRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCDCII
Contact information
Practice address
705 S BROWN SCHOOL RD, VANDALIA, OH 45377-3113
(937) 890-5400
(937) 890-5401
Mailing address
705 S BROWN SCHOOL RD, VANDALIA, OH 45377-3113
(937) 890-5400
(937) 890-5401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161509
OH
104100000X
Social Worker
Primary
S.1903943
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305004
—
OH
Enumeration date
08/08/2017
Last updated
03/11/2020
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