Individual
MS. JENNIFER REBECCA GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
115 WILLOW ST W, SUITE #1, DETROIT LAKES, MN 56501-3922
(218) 844-5191
(218) 844-5193
Mailing address
115 WILLOW ST W, SUITE #1, DETROIT LAKES, MN 56501-3922
(218) 844-5191
(218) 844-5193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302760
MN
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
436787
MN
Other
Enumeration date
11/21/2009
Last updated
12/03/2009
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