Alward, Jennifer R

Alward, Jennifer R is an individual health care provider with primary practice located at 1499 6Th St Innovative Counseling, Inc., Green Bay WI 54304-2252. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Alward, Jennifer R can be contacted via phone (920) 497-6161.

Contact Information

Primary practice address
1499 6Th St Innovative Counseling, Inc. Green Bay WI 54304-2252
Phone: (920) 497-6161
Fax: (920) 498-0476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1598951832
LBN Legal business name Alward, Jennifer R
Credentials MA MFT AT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Jan 13th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598951832 NPPES
Wisconsin MEDICAID 43717500

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