Individual
JENNIFER HARRIS-FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-4360
(920) 437-3540
Mailing address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-4360
(920) 437-3540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15364-132
WI
101YP2500X
Professional Counselor
Primary
4022-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154594372
—
WI
Enumeration date
04/09/2008
Last updated
04/29/2011
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