Individual
JENNIFER D POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
304 LAKE ST, PARDEEVILLE, WI 53954-8821
(608) 345-8928
Mailing address
304 LAKE ST, PARDEEVILLE, WI 53954-8821
(608) 345-8928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6422125
WI
101YP2500X
Professional Counselor
Primary
6422125
WI
Other
Enumeration date
08/01/2013
Last updated
07/21/2022
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