Individual
MS. JENNIFER HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC III
Contact information
Practice address
405 S BARSTOW ST, EAU CLAIRE, WI 54701-4896
(715) 838-7043
(715) 838-7044
Mailing address
1320 W CLAIREMONT AVE, STE 200, EAU CLAIRE, WI 54701-4566
(718) 834-2046
(715) 834-7563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11112
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39395400
—
WI
Enumeration date
11/09/2006
Last updated
07/08/2007
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