Individual
JENNIFER J BORCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CSAC
Contact information
Practice address
2611 12TH STREET SOUTH, WISCONSIN RAPIDS, WI 54494
(715) 421-8865
Mailing address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16080-132
WI
1041C0700X
Clinical Social Worker
Primary
8230-123
WI
Other
Enumeration date
08/30/2012
Last updated
05/10/2021
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