Individual
MS. JENNIFER ANN ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
611 LINCOLN WAY E STE 200, SOUTH BEND, IN 46601-3215
(574) 360-4066
(866) 843-2486
Mailing address
414 E OAKSIDE ST, SOUTH BEND, IN 46614-1112
(574) 229-0448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33011737A
IN
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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