Individual
MR. RAYMOND CHARLES KAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2301 CUMBERLAND DR, RECOVERY CENTER, VALPARAISO, IN 46383-2505
(219) 476-4676
(219) 462-2381
Mailing address
2301 CUMBERLAND DR., RECOVERY CENTER, VALAPARISO, IN 46383
(219) 476-4676
(219) 462-2381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000133A
IN
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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