Individual
JESSE A ARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
1409 CLEVELAND AVE, MARINETTE, WI 54143-3918
(920) 498-8600
Mailing address
1409 CLEVELAND AVE, MARINETTE, WI 54143-3918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18292
WI
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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