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Individual

JENNIFER R ALWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA MFT AT

Contact information

Practice address
1499 6TH ST, INNOVATIVE COUNSELING, INC., GREEN BAY, WI 54304-2252
(920) 497-6161
(920) 498-0476
Mailing address
4813 ILLINOIS RD, EAGLE RIVER, WI 54521-8961
(715) 781-7350

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4768-125
WI
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43717500
WI
Enumeration date
09/20/2007
Last updated
03/16/2026
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