Individual
JEAN M JIROVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2620 STEIN BLVD, EAU CLAIRE, WI 54701-6201
(715) 836-0064
(715) 836-0065
Mailing address
2620 STEIN BLVD, EAU CLAIRE, WI 54701-6201
(715) 836-0064
(715) 836-0065
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
670-122
WI
106H00000X
Marriage & Family Therapist
Primary
36-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39218200
—
WI
Enumeration date
10/19/2006
Last updated
06/17/2015
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