Individual
JENNIFER L HARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,LCAC
Contact information
Practice address
600 N WEINBACH AVE STE 730, EVANSVILLE, IN 47711
(812) 470-3640
(888) 852-3390
Mailing address
600 N WEINBACH AVE STE 730, EVANSVILLE, IN 47711-5977
(812) 470-3640
(888) 852-3390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004890A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34004890A
LICENSED CLINICAL SOCIAL WORKER
IN
01
—
89000999A
LICENSED CLINICAL ADDICTIONS COUNSELOR
IN
Enumeration date
11/02/2006
Last updated
01/03/2019
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