Individual
MS. JENNIFER L BOURGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
1635 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102
Mailing address
1635 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15485-131
WI
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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