Individual provider · Type 1 NPI

Jenna Fourre

Addiction (Substance Use Disorder) Counselor · Cedar Rapids, IA

NPI number 1285119784 Active

Practice location

5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070

Mailing address

PO Box 564
Tiffin, IA 52340-0564

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18057 (IA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285119784

Jenna Fourre's National Provider Identifier is 1285119784, issued on Oct 1, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cedar Rapids, IA. The record was last updated on Oct 1, 2018.