| Doctor Name: | JENNIFER DAMM |
| NPI Number: | 1164401485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | E0003749 |
| Business Practice Address: | 300 Melmore St Tiffin, OH - 448833535 |
| Business Phone Number: | 4194478111 |
| Business Fax Number: | 4194478158 |
| Mailing Address: | 300 Melmore St, P.o. Box 713 TIFFIN |
| State: | OH |
| Postal Code: | 448833535 |
| Phone Number: | 4194478111 |
| Fax Number: | 4194478158 |
| NPI Enumeration Date: | 01/13/2006 |
| NPI Last Update Date: | 12/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E0003749 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |