Individual
JENNIFER HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16190
WI
101YP2500X
Professional Counselor
Primary
6644
WI
Other
Enumeration date
10/27/2015
Last updated
09/15/2017
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