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Individual
HOLLY JANE GARDENIER
Active
Individual
HOLLY JANE GARDENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CSAC, ICS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
14743133
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15306-132
WI
101YP2500X
Professional Counselor
Primary
4187-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42025100
—
WI
Enumeration date
03/16/2007
Last updated
09/27/2010
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